A nurse is preparing to apply a condom catheter for a client who is uncircumcised. Which of the following actions should the nurse plan to take?
Keep foreskin in a retracted position after application of the catheter.
Allow 2.5 to 5 cm (1 to 2 in) between the end of the catheter and the tip of the penis.
Place adhesive tape directly on the penis.
Change the condom catheter every 3 days.
The Correct Answer is A
A condom catheter is a urine collection device that fits like a condom over the penis and has a tube that goes to a collection bag strapped to the leg. To apply a condom catheter, the nurse should clean and dry the penis thoroughly, unroll the sheath over the penis, leaving 2.5 to 5 cm (1 to 2 in) of space between the end of the catheter and the tip of the penis, and gently squeeze the catheter around the penis shaft for 10 to 15 seconds to ensure adhesion.
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Related Questions
Correct Answer is B
Explanation
To prevent electrical shocks and fires, the nurse should instruct residents to disconnect electrical equipment by grasping the plug, not by pulling on the cord. The nurse should also advise residents to avoid taping electrical cords to the floor, as this can damage the insulation and create a tripping hazard. The nurse should warn residents not to use electrical equipment with exposed wires or frayed cords, and not to cover them with tape, as this can increase the risk of sparks and short circuits. The nurse should remind residents to clean electrical equipment only after disconnecting it from the power source and following the manufacturer's instructions.
Correct Answer is D
Explanation
An ankle-foot orthotic (AFO) is a device that supports the ankle and foot in a neutral position and prevents plantar flexion contracture, which is a common complication of stroke. An abduction splint is used to prevent hip adduction contracture, which is not related to plantar flexion. A sequential compression device (SCD) is used to prevent deep vein thrombosis (DVT), which is not related to contracture prevention. A continuous passive motion machine (CPM) is used to promote joint mobility and healing after surgery, which is not indicated for this client.
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