Solutions.
In advancing the NG tube, which technique provides the safest outcome? - Answer Rotate the
tube if resistance is felt
Resistance is encountered during urinary catheterization of a male patient. Which action should
the nurse take? - Answer Ask the patient to take slow, deep breaths
The Levin tube and the Salem sump tube are used most commonly for stomach decompression.
Which of the following statements about these tubes is true? (Select all that apply.) - Answer
The blue air vent should not be used for irrigation
The Salem sump tube has a blue "pigtail" that functions as an air vent
The Salem sump is preferred for stomach decompression
The nurse is assisting the physician during the insertion of a central line into the subclavian vein.
How should the nurse cleanse the area? - Answer With chlorhexidine in a back and forth
scrubbing motion
The nurse is caring for a patient who has a central venous catheter (CVC). Which nursing
intervention is the most important for the nurse to include in the patient's plan of care? -
Answer Use strict sterile procedure when performing dressing changes
The nurse is caring for a patient who has an indwelling urinary catheter. Which intervention is
most important to include in this patient's plan of care? - Answer Cleaning in a circular motion
from the meatus down the catheter
The nurse is planning care for a 12-year-old female patient who needs a Foley catheter inserted.
It is most important for the nurse to use a catheter of which size? - Answer 12 Fr
The nurse is preparing to draw blood from a central venous access device for blood cultures.
Which of the following steps is part of that process? - Answer Use the distal lumen to draw
blood
The nurse notes that urine does not flow after a female patient is catheterized. The nurse
believes that the catheter has been placed into the vagina. Which action should the nurse take?
- Answer Leave the catheter in place and insert another one