Answer to Question 1
A, B, D, E
Long-term use of external catheters can lead to fungal skin infections, penile skin maceration, edema, fissures, contact burns from urea, phimosis, UTIs, and septicemia. The catheter should be removed and replaced daily and the penis cleaned, dried, and aired to prevent irritation, macera-tion, and the development of pressure ulcers and skin breakdown. If the catheter is not sized ap-propriately and applied and monitored correctly, then strangulation of the penile shaft can occur. Atrophy has not been identified as a complication.
Answer to Question 2
A
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A Correct. In a countercoping intervention, the nurse assists the older adult to cope with loss by collecting information and encouraging her to avoid acting on im-pulse. The older adult can arrive at a hasty decision when not coping with grief well, so the nurse acts to help restore some control for the bereaved and helps to avoid a decision that might be regretted later.
B Incorrect. The nurse can ask the older adult if this is her decision but avoids in-structing her to do so.
C Incorrect. The nurse avoids acting without the sister's knowledge because the nurse does not have the right to impose personal feelings on the family or pa-tient.
D Incorrect. At a time when the older adult is acting impulsively it can be reasona-ble to have her cool off; however, the woman has made a hasty decision and needs help to resolve that issue. In addition, the nurse can be considered insensi-tive for asking about this issue before the patient is dead.
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