A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?

Grasps the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip

Cleanses the meatus using a clean cotton ball

Cleanses the meatus from the center in a circular motion

Applies clean gloves before beginning the procedure

Answer and Explanation

The Correct Answer is C

A. Grasps the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip The catheter should be held at least 5 to 7.6 cm (2 to 3 inches) from the tip to maintain better control and prevent contamination.
B. Cleanses the meatus using a clean cotton ball Aseptic technique requires a separate antiseptic swab or cotton ball for each stroke to avoid introducing bacteria.
C. Cleanses the meatus from the center in a circular motion Cleaning from the center outward prevents introducing bacteria into the urethra, which is essential for infection prevention.
D. Applies clean gloves before beginning the procedure Sterile gloves, not clean gloves, must be used during catheterization to maintain aseptic technique.

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Correct Answer is D

Explanation

A. Enlarged adenoids Enlarged adenoids may contribute to airway obstruction, especially in children, but they are not a complication of OSA.
B. Diabetes mellitus While OSA is associated with an increased risk of insulin resistance and metabolic syndrome, it is not a direct complication.
C. Nasal polyps Nasal polyps can contribute to breathing difficulties but are not a complication of OSA.
D. Heart failure OSA can lead to chronic hypoxia and increased cardiac workload, contributing to conditions such as hypertension, arrhythmias, and heart failure.

A. Arrange to perform all nonessential tasks for the client at one time. B. Encourage the client to sleep as much as possible during the day. C. Perform routine hygiene for the client during the night. D. Remove limits on visiting hours for the client.

Correct Answer is A

Explanation

A. "Arrange to perform all nonessential tasks for the client at one time."
Grouping nonessential tasks reduces frequent disruptions, allowing the client to rest more effectively, which is essential for recovery.
B. "Encourage the client to sleep as much as possible during the day."
Excessive daytime sleeping can disrupt the client’s sleep-wake cycle, leading to difficulty sleeping at night.
C. "Perform routine hygiene for the client during the night."
Performing hygiene tasks at night can disturb the client’s rest and impact recovery.
D. "Remove limits on visiting hours for the client." Unrestricted visiting hours can increase noise and interruptions, making it harder for the client to get adequate rest.

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A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?

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