An appropriate procedure for the nurse to implement when ...

[jasdeep_brar]

An appropriate procedure for the nurse to implement when catheterizing a urinary diversion is to:
 
  A. Use clean technique
  B. Insert the catheter 5 to 6 inches into the stoma
  C. Use all of the urine that drains through and around the stoma for specimen collection
  D. Use povidone-iodine at least two times to cleanse around the stoma

Question 2

When evaluating the hygienic care provided by a nursing assistant, a nurse determines that additional instruction is necessary when the assistant is observed:
 
  A. Washing the eyes with plain water
  B. Massaging reddened areas of the skin
  C. Using long strokes to wash from the ankle toward the thigh
  D. Having the client check the temperature of the bath water

[iman]

Answer to Question 1

D
D. Cleanse face of stoma with povidone-iodine swabs using circular motion from center outward. Using new swab each time, repeat twice.
A. Apply sterile gloves.
B. With dominant hand, gently insert catheter 2 to 2 inches (5 to 6.5 cm) into stoma.
C. Maintain container below level of stoma. Have client cough as needed. Urine may flow around and through catheter. This is acceptable, but only urine from catheter is desired. Normally, wait 5 minutes; if no urine is in container, pinch catheter and remove; direct urine trapped in catheter into cup.

Answer to Question 2

B
B. Massaging reddened areas can cause further breakdown of the skin.
A. Plain water is used to wash the client's eyes.
C. It is correct procedure to use long, firm strokes to wash from the ankle toward the thigh; this promotes circulation.
D. It is appropriate to have the client check the temperature of the bath water.

[jasdeep_brar]

TYSM

[Perkypinki]

Gracias!