You are to insert an indwelling catheter for a female client, after the insertion of the catheter still the urine does not flow. You made a conclusion that you might have inserted the catheter into the vagina. In response to this, you should:

Correct Answer: C

Rationale: Rationale for Correct Answer (C - Leave the catheter in place and insert another one): If urine does not flow after catheter insertion, it indicates the catheter may be in the vagina. Leaving the catheter in place prevents further complications. Inserting another catheter correctly ensures urine drainage. Removing the catheter and reinserting it (choice A) risks causing trauma. Irrigating the catheter with saline (choice B) is unnecessary and may worsen the situation. Inserting the catheter further (choice D) can cause harm.

Correct Answer: C

Rationale: The correct answer is C (18G) because a blood transfusion requires a larger gauge size to allow for the rapid flow of blood products without causing hemolysis. 18G provides a larger diameter for quick transfusion. Option A (23G) and D (25G) are too small for efficient blood flow. Option B (21G) is slightly larger but may still impede the flow rate compared to 18G, making it less optimal for blood transfusion.

Correct Answer: A

Rationale: Correct Answer: A - Place the client in supine position Rationale: 1. When administering tube feeding to a client with a tracheostomy, the head of the bed should be elevated at least 30 degrees to prevent aspiration. 2. Placing the client in a supine position increases the risk of aspiration and compromises safety. 3. The supine position can lead to reflux of feeding contents into the trachea, causing respiratory complications. Summary of Incorrect Choices: B: Aspirating residual stomach contents is a standard practice to prevent overfeeding, not directly related to compromising safety. C: Determining tube placement is essential for safety, so this action does not compromise safety. D: Checking bowel sounds is unrelated to the administration of tube feeding to a client with a tracheostomy and does not compromise safety.

Correct Answer: C

Rationale: Rationale: Choice C is correct because encouraging fluid intake helps prevent urinary stasis and reduces the risk of catheter-associated urinary tract infections. Adequate hydration promotes urine flow, preventing sediment buildup in the catheter. Choices A, B, and D are incorrect. Choice A is unnecessary and can introduce infection risk. Choice B is incorrect because disconnecting the drainage system can introduce infection. Choice D is incorrect because burning and irritation at the meatus are not normal and should be reported to healthcare providers for assessment and intervention.

Correct Answer: D

Rationale: The correct answer is D: Sputum culture and sensitivity. This test is crucial in determining the specific bacteria causing pneumonia and their sensitivity to antibiotics, guiding appropriate treatment. A: Arterial blood gas measures oxygen and carbon dioxide levels, not helpful for antibiotic selection. B: Chest X-ray confirms pneumonia diagnosis but doesn't identify the causative organism. C: Complete blood count shows general infection markers, not specific for antibiotic selection.