A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Hold the penis at a 30° to 45° angle when inserting the catheter.

Perform catheterization when you recognize the urge to void.

Use soap and water to wash the catheter after each use.

Inflate the balloon when the urine flow stops.

Answer and Explanation

The Correct Answer is C

A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.

B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.

C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.

D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).

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Correct Answer is B

Explanation

A. 28 units: This would be an incorrect dosage. The correct total is 6 + 10 = 14 units.

B. 14 units: This number does not match the prescribed total dosage.

C. 42 units: This is an excessive dose and not the sum of the prescribed amounts.

D. 16 units: The total number of insulin units is 6 units of regular insulin + 10 units of NPH insulin = 16 units.

A. Continuous output from the stoma B. Presence of blood in the stool C. Malodorous Stool D. Liquid consistency with hard stool particles

Correct Answer is B

Explanation

A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.

B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.

D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.

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A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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