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.
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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Naxlex Comprehensive Predictor Exams
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Correct Answer is B
Explanation
The nurse should recognize that saying “I miss him so much already” is an indication of anticipatory grief, which is the emotional response to an expected loss that occurs before the actual loss occurs. Anticipatory grief can help prepare the person for coping with the loss, but it can also cause emotional distress and affect daily functioning.
Correct Answer is A
Explanation
This statement shows that the caregiver knows how to use proper body mechanics when lifting or moving a client in bed, which can prevent back strain and injury.
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