Author Question: After applying a condom catheter, which items will the nurse include in the documentation? Select ... (Read 50 times)

beccaep · **on:** Jun 25, 2018

After applying a condom catheter, which items will the nurse include in the documentation?

Select all that apply.

1. Appearance of the penis, such as swelling or discoloration
2. Amount of urine flow
3. Assessment 30 minutes after application and every 8 hours thereafter
4. Any client complaints or concerns
5. Time of application

Question 2

The nurse is caring for a client with a newly created urinary diversion ostomy appliance. Which is the priority when caring for this client?

1. Increasing fluid intake
2. Limiting fluid intake
3. Administering IV fluids, because the client will be NPO
4. Teaching the client self-care and support persons' care

mjbamaung · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 1,2,4,5

The nurse would document the appearance of the penis if any abnormal findings were noted, such as penile swelling or discoloration; amount of urine flow; any client complaints or concerns; and time of application. The penis should be inspected 30 minutes after applying the condom catheter and every 4 hours thereafter.

Answer to Question 2

Correct Answer: 4

It is essential that the client and support persons be taught how to care for the ostomy prior to discharge. In most cases, there is no need to increase or limit fluid intake or maintain the client NPO.