A nurse is applying a condom catheter to a male client who is incontinent. Which of the following is an appropriate technique to use?
Apply sterile gloves after performing hand hygiene.
Unroll the catheter before applying it to the penis.
Leave space between the tip of the penis and the end of the condom catheter.
Tape the condom catheter to the penis using waterproof adhesive tape.
The Correct Answer is C
A. Apply sterile gloves after performing hand hygiene: Applying a condom catheter does not require sterile technique. Clean gloves are appropriate to reduce the risk of infection, but sterile gloves are unnecessary, as the procedure is considered noninvasive and low risk for introducing pathogens.
B. Unroll the catheter before applying it to the penis: The condom catheter should be unrolled onto the penis during application, not before, to ensure proper fit and prevent twisting or air pockets. Pre-unrolling can make placement difficult and may compromise the seal, increasing the risk of leakage.
C. Leave space between the tip of the penis and the end of the condom catheter: Leaving a small space (about 1–2 cm) at the tip prevents pressure on the glans, reduces the risk of irritation or ischemia, and allows urine to flow freely into the collection bag without causing trauma to the penis. This is a key aspect of safe and effective application.
D. Tape the condom catheter to the penis using waterproof adhesive tape: The catheter should not be secured with adhesive tape around the shaft, as this can cause constriction, skin breakdown, or impaired circulation. Most condom catheters have self-adhesive or elastic sheaths that secure the device without additional taping.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You should verify the identity of anyone who wants to remove your baby from the room.": Parents should confirm the identity and role of anyone attempting to take the newborn to prevent abduction or misidentification. Verifying identification badges and following hospital protocols for infant security is a critical safety measure in the maternal-newborn unit.
B. "You can leave your baby in your room while you walk in the hallway.": Newborns should never be left unattended, even briefly, due to the risk of falls, accidental injury, or abduction. Continuous supervision by a parent or staff member is required at all times.
C. "Your baby should have one identification band on either their right arm or right leg.": Standard newborn safety procedures require two identification bands—one on the wrist and one on the ankle—to ensure correct identification. A single band is insufficient for reliable infant security.
D. "You can leave the unit with your baby as long as you notify the nurse.": Leaving the unit with a newborn without following strict security protocols, including escort and verification, is prohibited. Unauthorized movement of the infant could compromise safety and breach hospital security policies.
Correct Answer is ["354"]
Explanation
Prescribed Dose: 5 mg/kg
Client Weight: 70.8 kg
- Calculate the dose in mg
Dose = 5 × 70.8
Dose = 354 mg
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