A UAP has applied a condom catheter to a client. The nurse should document what information about this procedure?
1. Number of ml of fluid used to inflate the balloon
2. Location of the drainage bag
3. Name of the UAP who applied the device
4. Time and date that the condom catheter was applied
5. Integrity of the penis
Correct Answer: 4, 5
Rationale 1: A condom catheter does not have a balloon that needs to be inflated.
Rationale 2: The nurse does not need to document the location of the drainage bag.
Rationale 3: The nurse does not need to document the name of the UAP who applied the device.
Rationale 4: The nurse should document the application of the condom, including the time.
Rationale 5: The nurse should document any pertinent observations, such as the integrity of the penis.
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