ATI PN Fundamentals Online Practice 2020 B with NGN

ATI PN Fundamentals Online Practice 2020 B with NGN A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take? a. clean the perineal area at least once a day b. empty the drainage bag when it is three/fourths full c. flush the catheter with sterile water daily d. disconnect the drainage bag when emptying and measuring urine - ANSWER A. Clean the perineal area at least once a day. The nurse should clean the perineal area at least once a day to reduce the risk for infection. A nurse is preparing to remove staples from a client's incision. Which of the following actions should the nurse take? a. lift the staple remover when squeezing the handle b. avoid completely closing the handle after squeezing c. expect the staples to bend at each outer side of the staple d. remove the staple from the skin after both sides are visible - ANSWER Remove the staple from the skin after both sides are visible. The nurse should remove the staple from the skin after both sides of the staple are visible, which indicates proper dislodgement of the staple and prevents pulling on the skin around the incision, which can cause needless discomfort. A nurse is contributing to the plan of care for four patients. For which of the following clients should the nurse initiate airborne precations? a. a client who has pneumonia b. a client who has measles c. a client who has pertussis d. a client who has methicillin-resistant Staphylococcus aureus (MRSA) - ANSWER A client who has measles. The nurse should initiate airborne precautions for a client who has measles. -The nurse should initiate droplet precautions for a client who has pneumonia -The nurse should initiate droplet precautions for a client who has pertussis. -The nurse should initiate contact precautions for a client who has MRSA.