An order is written for the client's indwelling urinary ...

[audie]

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 or-der, 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? 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

Question 2

On changing the patient's dressing, the nurse notes that the wound appears to be granulating. Which one of the following is an appropriate noncytotoxic cleansing agent selected by the nurse?
 
  a. Sterile saline
  b. Hydrogen peroxide
  c. Povidone-iodine (Betadine)
  d. Sodium hypochlorite (Dakin's solution)

[sarah_brady415]

Answer to Question 1

C
The nurse should not cut the catheter to deflate the balloon. The nurse inserts an empty, sterile syringe into the injection port. The nurse slowly withdraws all of the solution to deflate the bal-loon totally. The nurse then pulls the catheter out smoothly and slowly.
The nurse positions the client in the same position as during catheterization. The nurse places a towel between a female client's thighs or over a male client's thighs.
Some institutions recommend collecting a sterile urine specimen before removal of the catheter or sending the catheter tip for culture and sensitivity tests.
The nurse assesses the client's urinary function by noting the first voiding after catheter removal and documenting the time and amount of voiding for the next 24 hours.

Answer to Question 2

A

Feedback
A Pressure ulcers should be cleansed only with wound cleansers that are not cytotoxic, such as normal saline. Normal saline will not damage or kill cells such as fibroblasts and healing tissue.
B Hydrogen peroxide is cytotoxic and therefore should not be used to clean a wound that is granulating.
C Povidone-iodine (Betadine) is cytotoxic and therefore should not be used to clean a wound that is granulating.
D Sodium hypochlorite (Dakin's solution) is cytotoxic and therefore should not be used to clean a wound that is granulating.

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