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 clamp the tube when I go for a walk."
"I will keep the drainage bag below the level of my waist."
"I will empty my drainage bag once a day."
"I will apply antiseptic ointment to the tip of my penis."
The Correct Answer is B
Rationale:
A. Clamping the tube when going for a walk is not recommended because it can cause urine to back up into the bladder.
B. Keeping the drainage bag below the level of the waist is recommended to prevent reflux of urine and reduce the risk of infection.
C. Emptying the drainage bag once a day may not be frequent enough to prevent urinary stasis and infection.
D. Applying antiseptic ointment to the tip of the penis is not recommended because it can cause irritation and discomfort.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Postponing the procedure could put the client at risk if the appendicitis worsens.
B. Obtaining consent from the client may not be possible due to the client's developmental disability.
C. Preparing the client for surgery with implied consent is appropriate when the client is unable to provide consent and the procedure is urgent.
D. Requesting that the provider sign the consent form is not appropriate because the provider cannot provide consent on behalf of the client.
Correct Answer is B
Explanation
Rationale:
A. Creating advance directives to donate organs is not a primary purpose of advance directives.
B. Naming a sibling as a designee in a durable power of attorney for health care is a valid choice for appointing a healthcare proxy.
C. Advance directives do not require approval from an attorney.
D. A family member does not need to witness the client's signature on a living will.
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