In providing daily catheter care for a client with a condom catheter, which action should the practical nurse (PN) include?
Wash around the catheter insertion site with soap and water.
Cleanse around the condom with an antibacterial cleansing agent.
Remove the condom and cleanse the penis with soapy water.
Loosen the condom and apply an antibacterial ointment.
The Correct Answer is C
A. Wash around the catheter insertion site with soap and water: A condom catheter does not involve an insertion site into the urethra. This action applies to indwelling urinary catheters, not external devices like a condom catheter.
B. Cleanse around the condom with an antibacterial cleansing agent: Cleaning around the condom itself does not address hygiene properly. The condom must be removed to thoroughly cleanse the skin underneath and prevent moisture buildup and skin breakdown.
C. Remove the condom and cleanse the penis with soapy water: Removing the condom daily and gently cleaning the penis with mild soapy water helps maintain hygiene, reduces the risk of skin irritation, and prevents infection, which are key aspects of proper condom catheter care.
D. Loosen the condom and apply an antibacterial ointment: Applying ointment under a condom catheter can create a moist environment that promotes bacterial growth and skin breakdown. Proper hygiene focuses on cleansing and keeping the skin dry and intact.
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Related Questions
Correct Answer is D
Explanation
A. Notify the nursing board: Reporting to the nursing board is necessary for ongoing professional accountability but is not the immediate first step. The priority is to ensure the safety of clients by addressing the situation within the facility first.
B. Submit an incident report: An incident report documents the event, but it should be completed after immediate concerns for client safety are addressed. It is not the first action when dealing with an impaired nurse.
C. Email the nurse manager: Emailing the nurse manager may delay the response. Immediate verbal communication with someone in a supervisory role is essential to remove the impaired nurse from client care duties without delay.
D. Inform the charge nurse: Informing the charge nurse immediately is the priority because the charge nurse has the authority to intervene quickly, ensure the impaired nurse is removed from duty, and maintain patient safety. This allows for appropriate administrative steps to follow afterward.
Correct Answer is C
Explanation
A. Maintain sterile technique during specimen collection: Sterile technique is required for urine cultures, not for 24-hour urine collections. For a timed urine collection, clean collection techniques are sufficient to accurately measure excretion over a full day.
B. Assist the client to cleanse the perineal area prior to voiding: While perineal hygiene is important, it is not the primary step when starting a 24-hour urine collection. The critical action is ensuring that the first void is discarded to properly begin timing the collection period.
C. Instruct the client to discard the first voided specimen: The first void is discarded to ensure the collection accurately measures substances excreted during the full 24-hour period. Timing officially starts after discarding the initial urine, and every subsequent void must be collected.
D. Insert an indwelling urinary catheter: Inserting an indwelling catheter is unnecessary unless the client is unable to void independently. Most 24-hour urine collections are performed using normal voiding and collection into a clean container.
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