A nurse is reinforcing discharge teaching with a male client who has an indwelling urinary catheter. Which of the following statements by the client indicates an understanding of the teaching?
"I will empty my drainage bag once a day."
"I will keep the drainage bag below the level of my waist."
"I will apply antiseptic ointment to the tip of my penis."
"I will clamp the tube when I go for a walk."
The Correct Answer is B
A. "I will empty my drainage bag once a day.": The bag should be emptied when it is half to two-thirds full, or at least every 8 hours, to prevent tension and bacterial growth.
B. "I will keep the drainage bag below the level of my waist.": Keeping the bag lower than the bladder ensures that gravity allows urine to flow out and prevents the backflow (reflux) of contaminated urine into the bladder.
C. "I will apply antiseptic ointment to the tip of my penis.": Routine use of antiseptic ointments at the meatus is not recommended and can actually increase the risk of infection by trapping bacteria.
D. "I will clamp the tube when I go for a walk.": The catheter should never be clamped without a specific medical order, as it causes urine to back up into the bladder and kidneys.
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Related Questions
Correct Answer is B
Explanation
A. "I will empty my drainage bag once a day.": The bag should be emptied when it is half to two-thirds full, or at least every 8 hours, to prevent tension and bacterial growth.
B. "I will keep the drainage bag below the level of my waist.": Keeping the bag lower than the bladder ensures that gravity allows urine to flow out and prevents the backflow (reflux) of contaminated urine into the bladder.
C. "I will apply antiseptic ointment to the tip of my penis.": Routine use of antiseptic ointments at the meatus is not recommended and can actually increase the risk of infection by trapping bacteria.
D. "I will clamp the tube when I go for a walk.": The catheter should never be clamped without a specific medical order, as it causes urine to back up into the bladder and kidneys.
Correct Answer is B
Explanation
A. Wheelchair on the left/affected side: In this image, the wheelchair is placed on the client's left side. This is incorrect because the wheelchair should be positioned on the client's unaffected (stronger) side to allow them to pivot and bear weight on their stable leg during the transfer.
B. Wheelchair on the right/unaffected side: This image shows the wheelchair placed on the client's right side. Since the surgery was on the left knee, the right leg is the stronger side. Placing the chair here allows the client to use their stronger limb to safely pivot into the wheelchair, minimizing the risk of falls or injury to the surgical site.
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