The client has had a condom catheter applied by the nursing ...

[AEWBW]

The client has had a condom catheter applied by the nursing assistant. The nurse determines that further instruction for the assistant is required if the nurse observes:
 
  A. Clipping of the hair at the base of the penis
  B. Skin prep being applied to the penis before catheter placement
  C. Regular adhesive tape being used to hold the catheter in place
  D. 1 to 2 inches of space being left between the tip of the penis and the end of the catheter

Question 2

MC During an assessment, you find the client's hand has become waxy white, mottled, and blistered during local ice therapy. Your nursing response is to
 
  A. Massage the skin to bring blood to the area.
  B. Apply dry heat to the area.
  C. Place a towel between the body area and the ice pack.
  D. Place the part in moving water at 40C for approximately 30 minutes.

[heinisk01]

Answer to Question 1

C
C. Never use adhesive tape in the application of the condom catheter because it may impede circulation.
A. Clip hair at base of penis. Hair adheres to condom and is pulled during condom removal or may get caught in rubber as condom catheter is applied.
B. Apply skin preparation to penis and allow to dry.
D. Allow 1 to 2 inches of space between tip of glans penis and end of condom.

Answer to Question 2

D