A nurse performs catheter irrigation for a client at a health ...

[savannahhooper]

A nurse performs catheter irrigation for a client at a health care facility only after verifying that a medical order has been written. Why should the nurse take this precaution?
 
  A) To comply with medical directives
  B) To demonstrate legal limits of nursing
  C) To provide baseline for assessing outcome of procedure
  D) To provide an opportunity for health teaching

Question 2

A nurse has been asked to record a client's body temperature every hour using a digital thermometer.
 
  After recording the temperature, the nurse has discarded the disposable sheath but had to clean the thermometer because it contacted the client's lips. How should the nurse clean the thermometer? A) Soak in isopropyl alcohol.
  B) Wipe with isopropyl alcohol.
  C) Soak in water mixed with alcohol.
  D) Wash with soap and water followed by alcohol.

[brbarasa]

Answer to Question 1

B
Feedback:
Before performing the catheter irrigation, the nurse checks the client's record to verify that a medical order has been written as this demonstrates the legal limit of nursing. The nurse needs to verify the irrigation solution prescribed in order to comply with the medical directives. In order to provide a baseline for assessing the outcome, the nurse should assess the characteristics of the urine. The nurse determines how much the client understands about catheter teaching as it provides an opportunity for health teaching.

Answer to Question 2

B
Feedback:
A digital thermometer is cleaned by wiping the thermometer with isopropyl alcohol. Glass thermometers, not digital thermometers, are cleaned by soaking in isopropyl alcohol. Digital thermometers are also not cleaned by soaking in water mixed with alcohol.

[savannahhooper]

Excellent

[Dnite]

TYSM