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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Respiratory therapist: While helpful in respiratory management, they do not assess swallowing ability.

B. Speech therapist: A speech-language pathologist evaluates swallowing function and recommends dietary textures and techniques to reduce aspiration risk.

C. Physical therapist: Focuses on mobility and strength, not swallowing.

D. Dentist: May manage oral health, but does not evaluate or treat dysphagia.

A. Urge incontinence B. Stress incontinence C. Reflex incontinence D. Overflow incontinence

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.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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