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 C
Explanation
Choice A rationale
Establishing a patient relationship is important, but it’s not the first action the nurse should take. The nurse must first ensure safety for all involved.
Choice B rationale
Exploring the truth of the patient’s statements is a part of the therapeutic process, but it’s not the first step. The immediate concern should be to ensure safety.
Choice C rationale
Setting behavioral limits for the patient is the first action the nurse should take. This is crucial in managing a patient who has shown aggressive behavior. It helps to establish boundaries and expectations, which can prevent further aggressive incidents.
Choice D rationale
While it’s important to explain to the patient that the behavior was unacceptable, this is not the first action. The immediate priority is to ensure safety by setting behavioral limits.
Correct Answer is ["7"]
Explanation
The nurse is preparing to administer amoxicillin 350 mg orally. The available amoxicillin is 250 mg per 5 mL.
Step 1: To find out how many mL the nurse should administer, we need to set up a proportion to calculate the dosage. The proportion is set up as follows: 350 mg (desired dose) : X mL (unknown quantity) = 250 mg (available dose) : 5 mL (known quantity)
Step 2: Cross-multiply to solve for X: 350 mg * 5 mL = 250 mg * X mL Step 3: Simplify the equation: 1750 mgmL = 250X mgmL Step 4: Divide both sides by 250 mg to solve for X: X = 1750 mg*mL ÷ 250 mg = 7 mL.So, the nurse should administer 7 mL of amoxicillin.
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