Author Question: The nurse is preparing to insert a Foley catheter for her patient. What is the best strategy for the ... (Read 68 times)

urbanoutfitters · **on:** Jul 23, 2018

The nurse is preparing to insert a Foley catheter for her patient. What is the best strategy for the nurse to use to perform this insertion in a timely and efficient manner?

a. Call another nurse to assist with the procedure
b. Gather all supplies and equipment before entering the patient room
c. Instruct and explain the procedure to the patient
d. Check the patient's schedule for the day for the most convenient time

Question 2

Which of the following is an example of a cluster of related cues?

a. Complains of nausea and stomach pain after eating
b. Has a productive cough and states stools are loose
c. Has a daily bowel movement and eats a high-fiber diet
d. Respiratory rate 20 breaths/min, heart rate 85 beats/min, blood pressure 136/84 mm Hg

fatboyy09 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
Gathering all the supplies and equipment before entering a patient's room is the best strategy to ensure that work is completed in an efficient and timely manner. This strategy will also help in preventing stress to the patient that may occur when a nurse is interrupted by needing to go to a supply room to get a needed item. Healthcare resources are scarce and staffing may not be conducive or feasible in having extra personnel available. Instructing and explaining a procedure to a patient is good practice and usually completed prior to any procedure for the purpose of patient cooperation and understanding. This is will not usually assist the nurse in completing a procedure in an efficient and timely manner.

Answer to Question 2

A
A cue is an unhealthy response; a cluster of cues consists of cues related to each other, such as nausea and stomach pain after eating. Productive cough and loose stools are abnormal findings but are not obviously or usually related to each other. Daily bowel movement and high-fiber diet are related but normal responses. The vital signs are also within normal limits.