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Exam (elaborations)

HESI FUNDAMENTAL S

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The nurse is preparing to irrigate the client's indwelling urinary catheter using an open technique. What action should the nurse take after applying gloves? A: Empty the client's urinary drainage bag. B: Draw up the irrigating solution into the syringe. C: Secure the client's catheter to the drainage tubing. D: Use aseptic technique to instill the irrigating solution. What action should the nurse implement to prevent the formation of a sacral ulcer for a client who is immobile? A: Maintain in a lateral position using protective wrist and vest devices. B: Position prone with a small pillow below the diaphragm. C: Raise the head and knee gatch when lying in a supine position. D: Transfer into a wheelchair close to the nurses's station for observation.


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