The nurse is performing urinary catheterization for a client. After using the non-dominant hand to separate the client's labia for cleansing, the nurse will maintain this hand as being:
1. Sterile.
2. Contaminated.
3. Able to evaluate the effectiveness of the catheter balloon.
4. Clean.
Correct Answer: 2
Rationale 1: The hand is contaminated after touching the client's skin.
Rationale 2: When performing urinary catheterization, the non-dominant hand is considered contaminated once it touches the client's skin.
Rationale 3: The hand should not be used to touch any equipment once it touches the client's skin.
Rationale 4: The hand is contaminated, not clean, after touching the client's skin.
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