A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan take?
Use one cotton swab to clean the client's urinary meatus.
Don sterile gloves before inserting the indwelling urinary catheter.
Test the balloon on the indwelling urinary catheter before insertion.
Apply an oil-based lubricant to the indwelling urinary catheter.
The Correct Answer is B
A. Use one cotton swab to clean the client's urinary meatus: Multiple cotton swabs should be used to clean in a systematic manner to maintain asepsis.
B. Don sterile gloves before inserting the indwelling urinary catheter. Sterile technique is essential to prevent urinary tract infections (UTIs) during catheter insertion.
C. Test the balloon on the indwelling urinary catheter before insertion: Pretesting the balloon is unnecessary and may compromise sterility or damage the balloon.
D. Apply an oil-based lubricant to the indwelling urinary catheter: Only water-based lubricants should be used to prevent catheter damage or client harm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Hyperventilation: Hyperventilation leads to excessive CO₂ loss, which is the primary cause of respiratory alkalosis.
B. Dry skin: Dry skin is not a typical finding; respiratory alkalosis more commonly affects neurological or muscular systems.
C. Diarrhea: Diarrhea is more often associated with metabolic acidosis.
D. Abdominal pain: Abdominal pain is not a direct manifestation of respiratory alkalosis.
Correct Answer is D
Explanation
A. "I will always have to wear a pouch.": An ileal conduit requires a pouch to collect continuously draining urine.
B. "I will need to measure my stoma each week.": Stoma size may change initially, so weekly measurements are necessary to ensure a proper pouch fit.
C. "I need to cleanse around the stoma with soap and water.": Gentle cleaning with soap and water helps maintain stoma hygiene and prevent irritation.
D. "I need to catheterize the stoma several times a day.": An ileal conduit is a urinary diversion where urine continuously drains through the stoma into a pouch. Catheterization is not required; this is typically associated with continent urinary diversions.
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