A nurse is providing discharge instructions about clean intermittent self-catheterization to a patient who has benign prostatic hyperplasia.
Which of the following instructions should the nurse include?
“Use soap and water to clean the catheter after each use.”.
“Hold the penis at a 30 to 45-degree angle when inserting the catheter.”.
“Perform catheterization when you feel the urge to void.”.
“Inflate the balloon when the urine flow stops.”.
The Correct Answer is A
Choice A rationale
Cleaning the catheter after each use with soap and water is a crucial step in preventing infection during self-catheterization.
Choice B rationale
The angle at which the penis should be held during catheter insertion can vary, but a 30 to 45- degree angle is not typically recommended.
Choice C rationale
Performing catheterization when feeling the urge to void is not typically part of the instructions for clean intermittent self-catheterization.
Choice D rationale
Inflating the balloon when the urine flow stops is not a step in clean intermittent self- catheterization. This step is associated with indwelling catheters, not intermittent catheters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A negative rubella titer indicates that the patient does not have immunity to the rubella virus. Therefore, the patient would need a rubella vaccination after delivery to prevent future infection.
Choice B rationale
A negative rubella titer does not necessarily mean that the patient is not currently infected with rubella. It simply means that the patient does not have immunity to the virus.
Choice C rationale
A negative rubella titer indicates that the patient is not immune to the rubella virus, not that they are immune.
Choice D rationale
While the patient does need a rubella vaccination, it is not typically given during pregnancy due to the theoretical risk to the fetus. Instead, it is usually given after delivery.
Correct Answer is A
Explanation
Choice A rationale
Engaging in conversation with the patient during wound care can provide emotional support by distracting the patient from the pain and discomfort associated with the procedure. It also helps to build a therapeutic relationship, which is crucial in the healing process.
Choice B rationale
While ensuring the patient’s room is kept tidy by support staff is important for maintaining a clean and safe environment, it does not directly provide emotional support to the patient.
Choice C rationale
Keeping the patient’s family informed about his condition can provide reassurance and reduce anxiety, but it does not directly provide emotional support to the patient.
Choice D rationale
Rotating the nursing staff can provide the patient with varied interactions, but it may not necessarily provide emotional support. Consistency in care providers can often be more beneficial in building trust and rapport.
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