The nurse is applying an external urinary device to a client. Before attaching the device to the drainage bag, what should the nurse do?
1. Wash his or her hands.
2. Document the client's tolerance of the procedure.
3. Instruct the client about the drainage system.
4. Ensure that the condom is not twisted.
Correct Answer: 4
Rationale 1: The nurse should wash his or her hands before and after the procedure.
Rationale 2: The nurse should document after the procedure is completed.
Rationale 3: The nurse should instruct the client about the drainage system after attaching the bag to the device.
Rationale 4: The nurse should make sure that the tip of the penis is not touching the condom and that the condom is not twisted, because a twisted condom could obstruct the flow of urine.
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