Catheterizing the Urinary Bladder

The nurse is inserting an indwelling catheter for a client with male genitalia. How will the nurse properly cleanse the area prior to catheter insertion?

A. Using a circular motion, move from the glans up to the meatus of the penis.

B. Using a back-and-forth motion, move from the left side of the glans up to the meatus of the penis.

C. Using a circular motion, move from the meatus down the glans of the penis.

D. Using a back-and-forth motion, move from the right side of the glans up to the meatus of the penis.

C. Using a circular motion, move from the meatus down the glans of the penis.

The nurse is inserting an indwelling urinary catheter for an uncircumcised client with male genitalia. After the catheter has been anchored properly, what action will the nurse complete next?

A. Ensure that the foreskin stays retracted as far back as possible.

B. Check the foreskin for signs of infection.

C. Replace the foreskin into its non-retracted position

D. Cleanse the foreskin vigorously after catheter placement

C. Replace the foreskin into its non-retracted position

The nurse has completed insertion of a urinary catheter in a client with male genitalia. Which step(s) does the nurse perform to ensure proper attachment? Select all that apply.

A. Secure catheter tubing to the client’s inner thigh or lower abdomen.

B. Attach drainage bag to raised side rail.

C. Leave slack in catheter to ensure ease in client leg movement.

D. Place drainage bag below the level of the bladder.

E. Position catheter under leg behind client

A. Secure catheter tubing to the client’s inner thigh or lower abdomen.

C. Leave slack in catheter to ensure ease in client leg movement.

D. Place drainage bag below the level of the bladder.

The nurse meets resistance when inserting a Foley catheter into a client with male genitalia. What action is recommended in this situation?

A. Not force the catheter

B. Apply moderate force to advance the catheter

C. Rotate the catheter a full turn and direct it towards the bladder

D. Notify the health care provider of the obstruction

A. Not force the catheter

The nurse is caring for a 72-year-old client with male genitalia who requires insertion of an indwelling urinary catheter. What is an important assessment question for the nurse to ask the client prior to the procedure?

A. Do you have a history of prostate problems?

B. Do you have a history of recurrent urinary tract infections?

C. Do you have a history of abdominal pain?

D. Do you have a history of diabetes?

A. Do you have a history of prostate problems?

While preforming client assessment, the nurse notes urine leaking around the indwelling catheter of a client with male genitalia. The nurse tells the client that the catheter will need to be replaced. The client asks why it cannot “just be repositioned".” What is the best response by the nurse?

A. Repositioning the catheter could cause damage to the urethra or prostate

B. The catheter is probably worn out, and a new one is needed

C. New equipment is better than something that has been in place a while

D. We can try that first but if the catheter is still leaking, it will need to be replaced.

A. Repositioning the catheter could cause damage to the urethra or prostate