A nurse is providing discharge teaching about clean intermittent self-catheterization for a client who has benign prostatic hyperplasia. Which of the following instructions should the nurse include?
Hold the penis at a 30° to 45° angle when inserting the catheter.
Perform catheterization when you recognize the urge to void.
Use soap and water to wash the catheter after each use.
Inflate the balloon when the urine flow stops.
The Correct Answer is C
A. Hold the penis at a 30° to 45° angle when inserting the catheter. The penis should be held at a 90° angle to straighten the urethra and facilitate catheter insertion.
B. Perform catheterization when you recognize the urge to void. Clients with BPH may not sense the urge due to urinary retention. Catheterization should be performed at scheduled intervals to prevent bladder overdistention.
C. Use soap and water to wash the catheter after each use. Proper cleaning of the catheter with soap and water helps prevent infection and prolongs the catheter’s usability.
D. Inflate the balloon when the urine flow stops. Self-catheterization uses a straight catheter, which does not have a balloon for inflation (balloons are used in indwelling catheters).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. 28 units: This would be an incorrect dosage. The correct total is 6 + 10 = 14 units.
B. 14 units: This number does not match the prescribed total dosage.
C. 42 units: This is an excessive dose and not the sum of the prescribed amounts.
D. 16 units: The total number of insulin units is 6 units of regular insulin + 10 units of NPH insulin = 16 units.
Correct Answer is A
Explanation
A. "Take the medication with a full glass of water." Docusate is a stool softener that works best when taken with plenty of fluids.
B. "Expect abdominal pain with this medication." Docusate should not cause abdominal pain; if it does, it should be discontinued.
C. "Take this medication on an empty stomach." Docusate can be taken with or without food.
D. "Do not take this medication before bedtime." It is often recommended before bedtime to work overnight.
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