A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is an appropriate technique to use?

Apply sterile gloves after performing hand hygiene.

Unroll the catheter before applying it to the penis.

Leave space between the tip of the penis and the end of the condom catheter.

Tape the condom catheter to the penis using waterproof adhesive tape.

Answer and Explanation

The Correct Answer is C

A. Apply sterile gloves after performing hand hygiene: Applying a condom catheter does not require sterile technique. Clean gloves are appropriate to reduce the risk of infection, but sterile gloves are unnecessary, as the procedure is considered noninvasive and low risk for introducing pathogens.

B. Unroll the catheter before applying it to the penis: The condom catheter should be unrolled onto the penis during application, not before, to ensure proper fit and prevent twisting or air pockets. Pre-unrolling can make placement difficult and may compromise the seal, increasing the risk of leakage.

C. Leave space between the tip of the penis and the end of the condom catheter: Leaving a small space (about 1–2 cm) at the tip prevents pressure on the glans, reduces the risk of irritation or ischemia, and allows urine to flow freely into the collection bag without causing trauma to the penis. This is a key aspect of safe and effective application.

D. Tape the condom catheter to the penis using waterproof adhesive tape: The catheter should not be secured with adhesive tape around the shaft, as this can cause constriction, skin breakdown, or impaired circulation. Most condom catheters have self-adhesive or elastic sheaths that secure the device without additional taping.

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Correct Answer is D

Explanation

A. Prednisolone: Corticosteroids like prednisolone are not contraindicated with fluoxetine. Although concurrent use may slightly increase the risk of gastrointestinal irritation or affect blood glucose levels, there is no major drug interaction that prevents their coadministration.

B. Lispro: Lispro is a rapid-acting insulin used for diabetes management. Fluoxetine does not directly contraindicate insulin use, though it may slightly affect glycemic control in some clients. Close monitoring of blood glucose is recommended, but the combination is generally safe.

C. Calcitonin: Calcitonin, used for conditions like osteoporosis, does not have significant interactions with fluoxetine. There is no contraindication for concurrent use, and standard monitoring is sufficient.

D. Phenelzine: Phenelzine is a monoamine oxidase inhibitor (MAOI). Combining MAOIs with fluoxetine, a selective serotonin reuptake inhibitor (SSRI), can precipitate serotonin syndrome, a potentially life-threatening condition characterized by confusion, hyperthermia, autonomic instability, and neuromuscular abnormalities. Concurrent use is strictly contraindicated.

A. Providing a ham and cheese sandwich to a client who follows a kosher diet B. Giving peanut butter to a client who was prescribed a mechanical soft diet C. Offering ginger ale to a client who is a member of the Mormon faith D. Serving ice cream to a client who prescribed a full-liquid diet

Correct Answer is A

Explanation

A. Providing a ham and cheese sandwich to a client who follows a kosher diet: Kosher dietary laws prohibit pork and require specific food preparation. Giving a ham sandwich directly violates the client’s religious dietary restrictions and requires immediate correction and staff education to respect cultural and religious practices.

B. Giving peanut butter to a client who was prescribed a mechanical soft diet: A mechanical soft diet includes foods that are easy to chew and swallow. While crunchy peanut butter would be restricted, smooth peanut butter is typically allowed as it does not require significant mastication.

C. Offering ginger ale to a client who is a member of the Mormon faith: Ginger ale is nonalcoholic and caffeine-free options are usually available. Serving ginger ale is generally consistent with Mormon dietary restrictions, which prohibit alcohol and caffeinated beverages, so this does not require intervention.

D. Serving ice cream to a client who prescribed a full-liquid diet: Ice cream is considered a full-liquid food and is consistent with this diet order. It does not violate dietary guidelines, so no intervention is required.

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A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is an appropriate technique to use?

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