A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
"I will empty my drainage bag once a day."
"I will keep the drainage bag below the level of my waist."
"I will apply antiseptic ointment to the tip of my penis."
"I will clamp the tube when I go for a walk."
The Correct Answer is B
A. "I will empty my drainage bag once a day.": The bag should be emptied when it is half to two-thirds full, or at least every 8 hours, to prevent tension and bacterial growth.
B. "I will keep the drainage bag below the level of my waist.": Keeping the bag lower than the bladder ensures that gravity allows urine to flow out and prevents the backflow (reflux) of contaminated urine into the bladder.
C. "I will apply antiseptic ointment to the tip of my penis.": Routine use of antiseptic ointments at the meatus is not recommended and can actually increase the risk of infection by trapping bacteria.
D. "I will clamp the tube when I go for a walk.": The catheter should never be clamped without a specific medical order, as it causes urine to back up into the bladder and kidneys.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Registered dietitian: While a dietitian will manage the client's caloric intake and diet type, they do not assess the physical mechanism of swallowing.
B. Speech-language pathologist (SLP): An SLP is the primary interprofessional team member responsible for performing swallowing evaluations and bedside swallow screens to determine the safety and consistency of the client's diet.
C. Respiratory therapist: They manage airway and lung function (like oxygen therapy or nebulizers) but do not treat the mechanical act of swallowing.
D. Occupational therapist: They help the client adapt to activities of daily living (using special utensils), but the primary assessment for dysphagia belongs to the SLP.
Correct Answer is C
Explanation
A. "He appears anxious about the transfer.": This is a subjective observation. While helpful, it is not the most critical clinical data point.
B. "He is voiding adequately.": This is vague. A transfer report should include specific data (e.g., "Voided 400 mL of clear yellow urine this shift").
C. "He is allergic to sulfa.": Safety information, particularly allergies, is the most critical information to communicate to the receiving nurse to prevent a life-threatening medication error.
D. "His partner has been visiting.": This is social information and, while helpful for holistic care, is not a priority for a clinical transfer report.
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