Author Question: The nurse is teaching an uncircumcised 65-year-old client about self-management of a urinary ... (Read 54 times)

urbanoutfitters · **on:** Jun 25, 2018

The nurse is teaching an uncircumcised 65-year-old client about self-management of a urinary catheter in preparation for discharge to his home. What statement indicates a lack of understanding by the client?

a. I only have to wash the outside of the catheter once a week.
b. I should take extra time to clean the catheter site by pushing the foreskin back.
c. The drainage bag needs to be changed at least once a week and as needed.
d. I should pour a solution of vinegar and water through the tubing and bag.

Question 2

A 34-year-old client comes to the clinic with concerns about an enlarged left testicle and heaviness in his lower abdomen. Which diagnostic test would the nurse expect to be ordered to confirm testicular cancer?

a. Alpha-fetoprotein (AFP)
b. Prostate-specific antigen (PSA)
c. Prostate acid phosphatase (PAP)
d. C-reactive protein (CRP)

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

Answer to Question 1

ANS: A
The first few inches of the catheter must be washed daily starting at the penis and washing outward with soap and water. The other options are correct for self-management of a urinary catheter in the home setting.

Answer to Question 2

ANS: A
AFP is a glycoprotein that is elevated in testicular cancer. PSA and PAP testing is used in the screening of prostate cancer. CRP is diagnostic for inflammatory conditions.