A nurse is planning to apply a female external urinary catheter for a client. Once the external catheter is in place, which of the following actions should the nurse plan take?
Replace the external urinary catheter once each day
Connect the catheter to continuous wall suction
insert the catheter into the client's urethra
Apply a barrier cream to the client's perineal skin
The Correct Answer is D
A. Replace the external urinary catheter once each day: Replacement depends on the manufacturer's instructions and patient need, not a fixed daily schedule.
B. Connect the catheter to continuous wall suction: External urinary catheters are connected to a gravity drainage bag, not suction.
C. Insert the catheter into the client's urethra: This describes an internal (indwelling) catheter, not an external one.
D. Apply a barrier cream to the client's perineal skin: Barrier creams help protect skin from moisture-associated skin damage and should be used with external catheters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Urge incontinence: Involves sudden strong urge to urinate and inability to delay voiding-not triggered by sneezing or pressure.
B. Stress incontinence: Caused by increased intra-abdominal pressure (e.g., from sneezing, coughing, laughing) that overwhelms weakened pelvic floor muscles.
C. Reflex incontinence: Due to neurologic conditions, not pressure-triggered events.
D. Overflow incontinence: Related to overdistension of the bladder, not physical exertion or stress.
Correct Answer is B
Explanation
A. Magnesium hydroxide: Although it is a laxative, it doesn't directly interfere with the chemical detection of blood in the stool.
B. Orange juice: Orange juice is high in vitamin C (ascorbic acid), and vitamin C in sufficient amounts can cause false-negative results on guaiac-based fecal occult blood tests (FOBT). Patients are usually told to avoid vitamin C (citrus fruits/juices and supplements) for about 3 days before and during the collection period.
C. Whole grain cereal:Whole grains are not listed among the foods that typically must be avoided.
D. Acetaminophen: Unlike NSAIDs, acetaminophen does not increase the risk of GI bleeding, so it's generally safe.
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