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28 of 100 Exit A_Alt Calculator The nurse prepares to insert an indwelling urinary catheter for a client diagnosed with urinary retention. Which is the most important principle for the nurse to follow when inserting the catheter? O 1. Inflate balloon before inserting the catheter O2 Wear sterile gloves during the entire procedure O 3. Identify urinary meatus before cleansing 04. Maintain catheter sterility at all times Calculator A client is to receive 2 units of blood. The client has an IV in the right forearm with D;W in normal saline that is used to administer an antibiotic every 4 hours Which does the nurse do first? 1. Start a second IV with isotonic saline O2 Receive the first unit of blood from the blood bank 3. Use a filtered tubing to administer the blood 4. Insert a microdrip chamber into the IV. The nurse evaluates the fontanels of a newborn immediately after birth. Two days later, the nurse determines that the fontanels are larger than they were after birth. Which does the nurse know about this change? 01. Indicates increased intracranial pressure. O2 Fontanels are growing as the head grows. O 3. Caused by a deformity of the head O 4. Molding of the head has decreased
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