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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Correct Answer is A

Explanation

Assist the client with a bowel cleansing. The rationale for this answer is that an IVP is a diagnostic test that uses an intravenous contrast agent and x-rays to visualize the urinary tract structures and function. A bowel cleansing is necessary before the procedure to eliminate fecal matter that may obscure the images or interfere with contrast excretion.

A. Secure restraints to allow three fingers to slide under the restraints. B. Assess skin temperature and color before applying the restraints. C. Ensure that the client's bed is in the lowest position. D. Attach the client's restraints to the bed rail. E. Pad bony prominences before applying the restraints.

Correct Answer is ["A","B","E"]

Explanation

The nurse should secure restraints to allow three fingers to slide under the restraints to prevent circulation impairment and nerve damage. The nurse should also assess skin temperature and color before applying the restraints to establish a baseline and monitor for signs of ischemia. The nurse should ensure that the client's bed is in the lowest position to reduce the risk of injury from falls. The nurse should pad bony prominences before applying the restraints to prevent skin breakdown and pressure ulcers. The nurse should not attach the client's restraints to the bed rail because this can cause injury if the bed is moved or adjusted. The nurse should attach the restraints to a part of the bed frame that moves with the client, such as the mattress support platform.

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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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Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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