The nurse set up the sterile field and is preparing to cleanse a male patient before inserting a urinary catheter. What step is essential for the nurse to use to facilitate insertion?
a. Keep the foreskin over the penis tip.
b. Use long strokes down the shaft of the penis.
c. Hold the penis at a right angle to the body.
d. Hold the cotton balls in the dominant hand.
C
The nurse uses the nondominant hand to hold the penis at a right angle to the body for cleansing so the dominant hand remains sterile to insert the catheter. The nurse retracts the foreskin during cleansing because the meatus is covered partially by the foreskin; the only method of cleansing the meatus is to retract the foreskin. Cleansing the shaft of the penis is unnecessary. The cotton balls remain on the sterile field until needed by the nurse.
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