The nurse wants to delegate the application of a condom catheter ...

[ss2343]

The nurse wants to delegate the application of a condom catheter to unlicensed assistive personnel. What must the nurse assess prior to delegating this task?
 
  1. Assess whether the client has unique needs.
  2. Measure the client's intake.
  3. Assist the client out of bed to a chair.
  4. Changes in the client's mobility status.

Question 2

The nurse is performing urinary catheterization for a client. After using the non-dominant hand to separate the client's labia for cleansing, the nurse will maintain this hand as being:
 
  1. Sterile.
  2. Contaminated.
  3. Able to evaluate the effectiveness of the catheter balloon.
  4. Clean.

[Sophiapenny]

Answer to Question 1

Correct Answer: 1
Rationale 1: Applying a condom catheter may be delegated to unlicensed assistive personnel. However, the nurse must determine whether the specific client has unique needs, such as impaired circulation or latex allergy, that would require special training of the UAP in the use of the condom catheter.
Rationale 2: The nurse does not need to measure the client's intake before delegating the application of a condom catheter to UAP.
Rationale 3: The nurse does not need to assist the client out of bed to a chair before delegating the application of a condom catheter to UAP.
Rationale 4: The nurse does not need to assess changes in the client's mobility status before delegating the application of a condom catheter to UAP.

Answer to Question 2

Correct Answer: 2
Rationale 1: The hand is contaminated after touching the client's skin.
Rationale 2: When performing urinary catheterization, the non-dominant hand is considered contaminated once it touches the client's skin.
Rationale 3: The hand should not be used to touch any equipment once it touches the client's skin.
Rationale 4: The hand is contaminated, not clean, after touching the client's skin.

[ss2343]

Both answers were spot on, thank you once again

[Sophiapenny]

Great! Please up vote