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A condom catheter is to be used for an adult male client in
the extended care facility. Which of the following
techniques is appropriate for the nurse to use in applying
the condom catheter?
Select one:
a. Using sterile gloves
b. Wrapping the adhesive tape securely around the base
of the penis
c. Leaving a 2.5- to 5-cm space between the tip of the
penis and the end of the catheter
d. Taping the tubing tightly to the thigh and attaching the
drainage bag to the bed frame - Answers-Leaving a 2.5- to
5-cm space between the tip of the penis and the end of
the catheter
The unit manager is evaluating the care of a new nursing
staff member. Which of the following techniques is
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appropriate for the nurse to implement to obtain a clean-
voided urine specimen?
Select one:
a. Apply sterile gloves for the procedure.
b. Restrict fluids before the specimen collection.
c. Place the specimen in a clean urinalysis container.
d. Collect the specimen after the initial stream of urine has
passed. - Answers-Collect the specimen after the initial
stream of urine has passed.
A timed urine specimen collection is ordered. The test will
need to be restarted if which one of the following occurs?
Select one:
a. The client voids in the toilet.
b. The urine specimen is kept cold.
c. The first voided urine is discarded.
d. The preservative is placed in the collection container. -
Answers-The client voids in the toilet.
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An order is written for the client's indwelling urinary
catheterization to be discontinued. While observing the
new staff nurse providing care to this client and
implementing the prescriber's order, the unit manager
determines that further instruction about catheter removal
is required for the new nurse if he or she does which one
of the following?
Select one:
a. Drapes the female client between the thighs
b. Obtains a specimen before removal
c. Cuts the catheter to deflate the balloon
d. Checks the client's output for 24 hours after removal -
Answers-Cuts the catheter to deflate the balloon
The nurse is working with a client who has a urinary
diversion. Included in the plan of care for this client is
which of the following instructions?
Select one:
a. Special clothing will need to be ordered to fit around the
diversion.
b. A stomal bag will need to be worn only at night.
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c. A reduction in physical activity will be planned.
d. Special skin care is a priority. - Answers-Special skin
care is a priority.
Immediately after an intravenous pyelogram (IVP), the
nurse should observe the client for which of the following
symptoms?
Select one:
a .Infection in the urinary bladder
b. An allergic reaction to the contrast material
c. Urinary suppression caused by injury to kidney tissues
d. Incontinence as a result of paralysis of the urinary
sphincter - Answers-An allergic reaction to the contrast
material
The nurse suspects that the client has a urinary tract
infection (UTI) based on the client exhibiting which of the
following early signs or symptoms?
Select one:
a. Chills