Basic Care and Comfort NCLEX PN Questions Nursing Practice Question
The LPN is placing a Foley in a female client. Place the following steps in the appropriate order.A.Prepare the sterile field., B.Separate labia with non-dominant hand., C.Clean the urinary meatus using cleansing solutions and forceps. D. Inflate catheter balloon. E. Place the client in a supine position with flexed knees. F. Place lubricant on catheter. G. Place catheter in meatus with dominant (sterile) hand
Correct Answer: D
Rationale: Option D follows the correct sequence for catheterization. First, positioning the client supine with flexed knees (E) provides optimal access. Preparing the sterile field (A) ensures a clean environment. Applying lubricant to the catheter (F) facilitates smooth insertion. Separating the labia with the non-dominant hand (B) allows for proper visualization of the meatus. Cleaning the urinary meatus (C) is crucial for infection prevention before catheter insertion (G). Finally, inflating the catheter balloon (D) secures the catheter in place.
Options A, B, and C misplace critical steps, such as cleaning the meatus before proper visualization or catheter insertion, which can lead to contamination and infection.