A female client with a neurogenic bladder secondary to a T12 spinal cord injury is preparing to return home and must perform clean intermittent self-catheterization. The practical nurse is reinforcing the sequence of steps to ensure the client can safely and independently perform this elimination self-care task. In what order should the client be instructed to perform the following actions? Arrange the steps in the correct chronological sequence.
- 1Perform hand hygiene with soap and water and gather all necessary catheterization supplies.
- 2Assume a comfortable, semi-reclining position and separate the labia with the non-dominant hand.
- 3Cleanse the urethral meatus in a front-to-back direction using a designated cleansing wipe.
- 4Insert the lubricated catheter tip into the urethra with the dominant hand until urine begins to flow.
- 5Allow the bladder to empty completely before slowly withdrawing the catheter.
Cevap
The correct chronological sequence for independent female clean intermittent self-catheterization is: 1) Perform hand hygiene and gather supplies, 2) Assume a comfortable position and separate the labia with the non-dominant hand, 3) Cleanse the meatus from front to back, 4) Insert the catheter with the dominant hand, and 5) Allow the bladder to empty completely before withdrawing.
The correct sequence ensures the client maintains medical asepsis while fostering independence in elimination self-care. Hand hygiene and supply preparation must occur first. The client then positions themselves and separates the labia with the non-dominant hand. This hand must stay in place so the clean dominant hand can cleanse the exposed meatus from front to back, preventing fecal contamination. The dominant hand then safely inserts the lubricated catheter. Finally, the catheter is removed only after drainage stops to ensure complete bladder emptying.
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Anahtar Kavram
Reinforcing independent elimination self-care through proper sequencing of clean intermittent self-catheterization.