Health Promotion and Maintenance
52. A nurse teaches a child with spina bifida how to perform urinary self-catheterization. Which steps should the nurse include in the teaching? Place each correct step in sequential order.
Health Promotion and Maintenance
52. A nurse teaches a child with spina bifida how to perform urinary self-catheterization. Which steps should the nurse include in the teaching? Place each correct step in sequential order.
. Wash hands.
. Open latex catheter package.
. Lubricate tip of catheter.
. Wash catheter with soap and water.
. Cleanse perineum with Betadine swabs.
Test-Taking Tip
Since self-catheterization is done at home, remember that the procedure is clean, not sterile. Start and end with washing ( Answers 1 and 4 ). The child may reuse catheters as long as they are properly cleaned and stored.
Content Area: Child Health, Neurological; Integrated Process: Nursing Process, Implementation; Cognitive Level: Application; Client Need/Subneed: Physiological Integrity/Basic Care and Comfort/Elimination
Health Promotion and Maintenance
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Answer 1 is correct as the first step because the child should wash hands prior to the procedure to prevent infection. Answer 2 is incorrect because children with spina bifida are at increased risk for latex allergy and should not utilize latex catheters. Answer 3 is correct as the second step because lubricating jelly should be applied. Answer 4 is correct because, after insertion and removal of the catheter, the third (and last) step is to cleanse the catheter for storage. Answer 5 is incorrect because the child should cleanse the perineum with soap and water, not Betadine.