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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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View Related questions

Correct Answer is B

Explanation

Choice A rationale

An ileal conduit does not provide the client with control over elimination. It is a type of urinary diversion, and the client wears an external pouch to collect urine.

Choice B rationale

In an ileal conduit, the client's ureters are attached to a section of the small intestine, which is then brought to the surface of the abdomen to form a stoma. Urine flows through this conduit into an external pouch.

Choice C rationale

An ileal conduit is not a tube that directly connects the kidney to an external pouch. It involves using a section of the small intestine to create a passageway for urine to exit the body.

Choice D rationale

Stool is not passed through an ileal conduit. The ileal conduit is specifically for urinary diversion, while stool passes through the regular gastrointestinal tract.

Correct Answer is D

Explanation

Choice A rationale

It is best practice to use a new cotton swab for each swipe to avoid contamination. Each area should be cleaned with a separate cotton swab.

Choice B rationale

Oil-based lubricants should not be used with catheters as they can interfere with the material of the catheter. Water-based lubricants are preferred.

Choice C rationale

Testing the balloon on the indwelling urinary catheter before insertion can lead to an increased risk of contamination and potential damage to the catheter.

Choice D rationale

Sterile gloves are essential to prevent infection during the insertion of an indwelling urinary catheter. Maintaining a sterile field is crucial.

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