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A nurse is planning to insert a female external urinary catheter for a client.
Which of the following actions should the nurse plan to take?

A.

Replace the external urinary catheter once each day.

B.

Insert the catheter into the client's urethra.

C.

Apply a barrier cream to the client's perineal skin.

D.

Connect the catheter to continuous wall suction.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Replacing the external urinary catheter once each day is unnecessary. The catheter should be changed based on clinical judgment and manufacturer's guidelines to maintain hygiene.

 

Choice B rationale

Inserting the catheter into the client's urethra is incorrect for an external urinary catheter. External catheters are designed to be placed outside the body.

 

Choice C rationale

Applying a barrier cream to the client's perineal skin is correct. Barrier creams protect the skin from moisture and prevent skin breakdown and irritation caused by urine.

 

Choice D rationale

Connecting the catheter to continuous wall suction is not appropriate. External urinary catheters should be connected to a drainage bag for proper urine collection. .


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Correct Answer is C

Explanation

Choice A rationale

Documenting the medication administration is important but should be done after administering the medication. Documentation ensures proper tracking and accountability but does

not address immediate patient safety concerns like checking for allergies.

Choice B rationale

Mixing the medication at the client's bedside may ensure that the medication is prepared correctly and the client receives it promptly, but it doesn't address the critical step of

ensuring the client's safety by checking for allergies first.

Choice C rationale

Checking the client for allergies is crucial before administering any medication, including powdered forms. Allergic reactions can be severe or life-threatening, so it’s essential to

ensure that the client isn’t allergic to the medication. This step ensures the safety and well-being of the client and prevents potential adverse reactions.

Choice D rationale

Determining the client's response to the medication is important for assessing the medication's effectiveness and identifying any adverse reactions, but it occurs after administration.

Checking for allergies precedes all these steps to prevent any initial harm.

Correct Answer is D

Explanation

Choice D rationale

Intravenous (IV) administration has the fastest rate of absorption because the medication is delivered directly into the bloodstream, bypassing the absorption barriers of the digestive

system or muscle tissue. This ensures rapid onset of action.

Choice A rationale

Enteral administration involves the gastrointestinal tract, including oral and feeding tube methods. Absorption is slower as the medication passes through the digestive system before

entering the bloodstream.

Choice B rationale

Intramuscular (IM) administration involves injecting the medication into muscle tissue, where it is absorbed into the bloodstream. Absorption is quicker than enteral routes but slower

compared to IV administration.

Choice C rationale

Topical administration involves applying medication to the skin or mucous membranes. Absorption is generally slower and is intended for local or systemic effects, depending on the medication.

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