A nurse manager is evaluating a nurse who is performing a urinary catheterization on a male client. Which of the following actions by the nurse demonstrates correct aseptic technique?
Grasps the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip
Cleanses the meatus using a clean cotton ball
Cleanses the meatus from the center in a circular motion
Applies clean gloves before beginning the procedure
The Correct Answer is C
A. Grasps the catheter 10.16 to 12.7 cm (4 to 5 in) from the tip The catheter should be held at least 5 to 7.6 cm (2 to 3 inches) from the tip to maintain better control and prevent contamination.
B. Cleanses the meatus using a clean cotton ball Aseptic technique requires a separate antiseptic swab or cotton ball for each stroke to avoid introducing bacteria.
C. Cleanses the meatus from the center in a circular motion Cleaning from the center outward prevents introducing bacteria into the urethra, which is essential for infection prevention.
D. Applies clean gloves before beginning the procedure Sterile gloves, not clean gloves, must be used during catheterization to maintain aseptic technique.
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Related Questions
Correct Answer is A
Explanation
A. Case manager A case manager helps coordinate home oxygen therapy, arranges for home health services, and ensures the client has access to needed resources, such as durable medical equipment and personal assistance for ADLs.
B. Hospice care facility Hospice is appropriate for clients with a terminal illness and a life expectancy of 6 months or less. COPD is chronic but not necessarily end-stage.
C. Long-term care facility This client is not indicated for long-term institutional care but rather for home-based support.
D. Pharmacist While a pharmacist is important for medication education, they do not coordinate oxygen therapy or ADL assistance.
Correct Answer is C
Explanation
A. Flush the client's tube with 5 mL of water. – This is incorrect because the standard amount of water used to flush a feeding tube is typically 30–50 mL to maintain patency and prevent clogging.
B. Place the client in a supine position. – This is incorrect because the client should be placed in a semi-Fowler’s or Fowler’s position (at least 30–45 degrees) to reduce the risk of aspiration.
C. Check the pH level of the client's gastric contents. – This is the correct answer. Checking the pH of gastric contents (typically ≤5.5) helps confirm proper tube placement before administering feedings, reducing the risk of aspiration.
D. Check the patency of the client's tube every 8 hr. – This is incorrect because tube patency should be checked before each feeding or medication administration, not just every 8 hours.
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