A nurse is applying a condom catheter to a client who is incontinent, when the client has an erection. Which of these actions should the nurse take?
a. Discontinue the procedure.
b. Discuss the situation with a colleague.
c. Continue with the catheter application.
d. Wait until the erection ends before applying the catheter.
D
While applying a condom catheter to a male client with an erection, wait until the erection ends before applying the catheter.
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Which of the following would be most likely called a construct?
A) Gender B) Body temperature C) Uncertainty in illness D) Blood type
When should ambulation be initiated in the client who has sustained a major burn?
A. When all full-thickness areas have been closed with skin grafts B. When the client's temperature has remained normal for 24 hours C. As soon as possible after wound debridement is complete D. As soon as possible after resolution of the fluid shift
Which patient would need enhanced skin care precautions?
a. Patient who has one unformed stool after a bolus of tube feeding b. Patient who has an unformed stool followed by a formed stool 3 hours later c. Patient who reports cramping and nausea followed by an unformed stool d. Patient who reports no abdominal discomfort but has had three unformed stools in 8 hours
When practicing in a compact state:
a. the nurse must abide solely by the practice act of the largest state. b. patients' rights in relation to the nurse practice act are protected by the mutual recognition model. c. the nurse must pay for a license in all states that participate in the mutual recognition model. d. the nurse must refer to the nurse practice act for the list of skills that can be performed.