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
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 2½ 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.
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