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. Milkshake: Contains milk, which is not a clear liquid.

B. Grape juice: Allowed, as it is a transparent liquid without pulp.

C. Lemon sherbet: Not a clear liquid; contains dairy and solid components.

D. Vanilla ice cream: Not clear; ice cream is a full-liquid food.

A. "You may have pink-tinged urine after this procedure." B. "You should limit fluids for 12 hr following the procedure." C. "You will be placed on your right side during the procedure." D. "You can eat a full liquid meal up to 1 hour before the procedure."

Correct Answer is A

Explanation

A. "You may have pink-tinged urine after this procedure." Minor bleeding and pink-tinged urine are expected due to irritation of the urethra and bladder mucosa during the procedure.

B. "You should limit fluids for 12 hr following the procedure." Fluids should be encouraged to help flush the bladder and prevent infection or clot formation.

C. "You will be placed on your right side during the procedure." Cystoscopy is performed with the client in the lithotomy position (on the back with legs supported in stirrups).

D. "You can eat a full liquid meal up to 1 hour before the procedure."Cystoscopy may require sedation, and clients are typically instructed to be NPO (nothing by mouth) for several hours before the procedure.

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