A nurse is reinforcing teaching with a client who is premenopausal.
Which of the following statements by the nurse is appropriate regarding breast self-examinations?

Choice A rationale

Securing the catheter tubing to the client’s thigh prevents unnecessary movement and minimizes the risk of catheter displacement or trauma, promoting urinary tract health.

Choice B rationale

Topical antimicrobial ointments are not routinely recommended for catheter care as they can promote microbial resistance or skin irritation without substantial benefit.

Choice C rationale

Clean technique is insufficient for collecting urine specimens from an indwelling catheter. Sterile technique is mandatory to prevent contamination and subsequent urinary tract infection.

Choice D rationale

Emptying the drainage bag every 12 hours is too infrequent. Urine should be drained regularly, typically every 6 to 8 hours or as needed, to prevent backflow or bacterial growth.

Choice A rationale

A 2-hour fasting period is insufficient for bronchoscopy preparation. Aspiration risk during sedation necessitates fasting for at least 6 to 8 hours before the procedure, depending on clinical guidelines, to ensure gastric contents do not enter the airway.

Choice B rationale

Resuming oral intake immediately after the procedure is unsafe. Clients must wait until the gag reflex returns, as sedation suppresses protective airway reflexes, significantly increasing aspiration risk if eating prematurely.

Choice C rationale

Frequent monitoring of vital signs is essential post-bronchoscopy, as complications like respiratory depression, bleeding, or pneumothorax can occur. Continuous assessment allows early detection and intervention, ensuring client safety during recovery.

Choice D rationale

Clients are typically positioned supine or semi-Fowler’s during bronchoscopy to optimize airway visualization. Placing the client on the left side is not a standard practice and may impede the procedural view for the practitioner.