NCLEX RN 3500 - Funda

In a female client, the nurse should advance an indwelling urinary catheter 2" to 3" (5 to 7.5 cm) into the urethra. In a male client, the nurse should advance the catheter 6" to 8".

 The nurse should always move from the center outward in ever-larger circles when cleaning around a wound drain because the skin near the drain site is more contaminated than the site itself. The nurse should never remove the drain before cleaning the skin. Alcohol should never be used to clean around a drain; it may irritate the skin and has no lasting effect on bacteria because it evaporates. The nurse should wear sterile gloves to prevent contamination, but a mask isn't necessary.

Client isolation techniques attempt to break the chain of infection by interfering with the transmission mode. These techniques don't affect the agent, host, or portal of entry.





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