The nurse is performing urinary catheterization for a client. After us

The nurse is performing urinary catheterization for a client. After using the nondominant hand to separate the client’s labia for cleansing, the nurse will maintain this hand as being

1. sterile.
2. contaminated.
3. able to evaluate the effectiveness of the catheter balloon.
4. clean.

ANSWER

Correct Answer: 2
Rationale 1: The hand is contaminated after touching the client’s skin.
Rationale 2: When performing urinary catheterization, the nondominant hand is considered contaminated once it touches the client’s skin.
Rationale 3: The hand should not be used to touch any equipment once it touches the client’s skin.
Rationale 4: The hand is contaminated, not clean, after touching the client’s skin.