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.

Answer and Explanation

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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Correct Answer is B

Explanation

A client identifier is a unique piece of information that can be used to verify the identity of a client before providing care or services. Using client identifiers helps to prevent errors and ensure patient safety. A photograph is an example of a client identifier that can be used by the nurse to confirm that they are administering the medication to the right person.

A. Review potential benefits and consequences of each intervention. B. Select an intervention that provides greatest benefit and least risk. C. Identify possible nursing interventions that address client’s nausea. D. Determine probability of intervention-related complications.

Correct Answer is C,D,A,B

Explanation

The first step in addressing a client's problem is to identify possible nursing interventions that are relevant and appropriate for the situation. The next step is to determine how likely each intervention is to cause complications or adverse effects for the client, such as drug interactions or allergies. The third step is to review how beneficial each intervention is in terms of relieving symptoms, improving outcomes, or preventing complications, as well as how feasible each intervention is in terms of availability, cost, or preference. The final step is to select an intervention that provides greatest benefit and least risk for the client based on evidence-based practice and clinical judgment.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a medication to a client. Which of the following should the nurse use as a client identifier?

Correct Answer is B

Explanation

A nurse is caring for a client who is nauseated and unable to eat after taking an antibiotic. Identify the steps the nurse should take to address the client's nausea. (Move the steps into the box on the right, placing them in order of performance. Use all steps.)

Correct Answer is C,D,A,B

Explanation

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