A nurse is preparing to apply a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse plan to take?

Keep foreskin in a retracted position after application of the catheter.

Allow 2.5 to 5 cm (1 to 2 in) between the end of the catheter and the tip of the penis.

Place adhesive tape directly on the penis.

Change the condom catheter every 3 days.

Answer and Explanation

The Correct Answer is A

A condom catheter is a urine collection device that fits like a condom over the penis and has a tube that goes to a collection bag strapped to the leg. To apply a condom catheter, the nurse should clean and dry the penis thoroughly, unroll the sheath over the penis, leaving 2.5 to 5 cm (1 to 2 in) of space between the end of the catheter and the tip of the penis, and gently squeeze the catheter around the penis shaft for 10 to 15 seconds to ensure adhesion.

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Free Nursing Study Resources

Correct Answer is C

Explanation

This statement shows that the client knows how to prevent dryness and cracking of the skin on the feet, which can lead to infection, while also avoiding excessive moisture between the toes, which can promote fungal growth.

A. Move a vibrating tuning fork in front of the client's ear canals one after the other. B. Place the base of a vibrating tuning fork on the client's mastoid process. C. Place the base of a vibrating tuning fork on the top of the client's head. D. Count how many seconds a client can hear a tuning fork after it has been struck

Correct Answer is C

Explanation

The Weber's test is used to assess for unilateral hearing loss caused by either conduction or sensorineural impairment. The nurse places a vibrating tuning fork on the midline of the client's head and asks if he hears it better in one ear or equally in both ears. A normal finding is that the sound is heard equally in both ears (no lateralization). If there is conduction deafness in one ear, the sound will be heard louder in that ear (lateralization to affected ear). If there is sensorineural deafness in one ear, the sound will be heard louder in the opposite ear (lateralization to unaffected ear).

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A nurse is preparing to apply a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse plan to take?

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