Urinary Catheterization Procedures

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Questions and Answers

What is the primary purpose of using antiseptic solution during catheterization?

To lubricate the catheter

To secure the catheter in place

To fill the drainage bag

To clean and prevent infection around the urethra (correct)

What position is recommended for a male patient during catheterization?

Supine position with thighs abducted (correct)

Lateral position with knees bent

Dorsal recumbent position with feet together

Standing position with legs apart

What should be done if the catheter balloon malfunctions during testing?

Obtain a new sterile catheter (correct)

Continue testing to see if it inflates later

Deflate the balloon and proceed with the existing catheter

Use a syringe to refill the balloon with more water

Which item is necessary for securing the drainage tubing to the bed for an indwelling catheter?

Safety pin and elastic band Signup and view all the answers

What is the correct technique for cleansing the meatus during catheterization?

Using circular strokes with forceps to prevent contamination Signup and view all the answers

How much sterile water is typically required to test the catheter balloon, as specified by the manufacturer?

10 ml Signup and view all the answers

What initial step should be taken to prepare the patient for catheterization?

Identify the client and introduce yourself Signup and view all the answers

What should be done immediately after opening all supplies for catheterization?

Don sterile gloves Signup and view all the answers

What is the primary purpose of urinary catheterization?

To allow continuous urine drainage from the bladder Signup and view all the answers

Which of the following is NOT an indication for urinary catheterization?

To enhance kidney filtration Signup and view all the answers

What is a contraindication for urethral catheterization?

Patient with suspected urethral injury Signup and view all the answers

Which type of indwelling catheter is made from latex?

Folly catheter Signup and view all the answers

Which of the following is considered a potential side effect of urinary catheterization?

Abscess formation Signup and view all the answers

What should be checked in the patient's chart before performing urinary catheterization?

Patient's allergy history, especially latex Signup and view all the answers

Which preparation step is crucial before inserting a urinary catheter?

Position the tubing for easy access Signup and view all the answers

Why is it essential to adhere to sterile techniques during urinary catheter insertion?

To minimize the risk of infections Signup and view all the answers

Study Notes

Urinary Catheterization

Insertion of a tube into the bladder to drain or instill fluids using aseptic technique.

Purpose

Allows continuous urine drainage from the bladder to a drainage collection system

Indications

Emptying the bladder:
- Before or after abdominal, pelvic, or rectal surgery.
- Before certain investigations.
Determine residual urine.
Irrigate the bladder.
Bypass an obstruction.
Relieve urine retention.
Introduce cytotoxic drugs for bladder carcinoma treatment.
Measure urinary output accurately:
- Shock.
- Bone marrow transplantation.
- High-dose chemotherapy.
Empty the bladder before childbirth in females.

Contraindications

Trauma patients with suspected urethral injury.
- Look for blood at the meatus, perianal hematoma, or scrotal hematoma.
- These signs indicate an anterior urethral injury, contraindicating catheterization.

Side Effects

Pain and discomfort.
Pressure sores, possibly leading to stricture formation.
Blockage of paraurethral ducts.
Abscess formation.

Types of Indwelling Catheter

Silicone.
Folly (latex):
- One-way.
- Two-way.
- Three-way.

Urinary Catheter Insertion: Preparation

Prepare Yourself*
Review patient chart for physical activity limitations and allergies (especially latex).
Wash hands.
Prepare the Environment*
Close curtains and door.
Position bed at your waist level, lower the side rail nearest to you.
Provide adequate lighting.
Open drainage system package, position tubing for easy access.
Bring equipment to bedside table, maintaining sterile technique.
Prepare Equipment*
Catheter kit or individual sterile items (choose the correct size and type based on assessment and purpose of catheterization):
- Sterile gloves.
- Sterile drapes.
- Sterile materials for perineal cleansing.
- Cotton balls.
- Antiseptic solution.
- Forceps.
- Water-soluble lubricant.
- Syringe pre-filled with sterile water (manufacturer-specified amount).
- Urine drainage container.
- Sterile specimen container (if urine specimen is ordered).
- Drainage bag and tubing.
- Leg band or tape.
- Safety pin and elastic band (secure drainage tubing to bed for indwelling catheter).
- Bath blanket for covering.
- Waterproof pad.
- Adequate lighting for perineal visualization (flashlight).
- Supplies for perineal care.
Prepare the Patient*
Identify the client and introduce yourself.
Explain the purpose and details of catheterization to the patient.
Position the patient:
- Male: Supine position, thighs abducted, drape covering all but the penis area.
- Female: Dorsal recumbent with flexed knees and abducted legs or lateral position.
Ensure client comfort.

Procedure

Steps*
Prepare urine drainage setup if a separate urine collection system is used, secure to the bed.
Open sterile catheterization tray on the clean over-bed table using sterile technique.
Place sterile drape under and over thighs, then don sterile gloves.
Place a kidney basin under the urethral opening.
Open all supplies:
- Antiseptic swabs or pour antiseptic solution over cotton balls.
- Open lubricant package or remove cap from syringe pre-filled with lubricant.
- Open specimen container (if specimen is ordered).
Test catheter balloon:
- Remove rubber protector and inject 10mL of sterile water to inflate.
- Test balloon integrity.
- If the balloon malfunctions, obtain a new sterile catheter.
- Pull back on the plunger to remove fluid and deflate the balloon, leaving the syringe in place.
In Male*
Hold the penis upright with your non-dominant hand, holding the sides to prevent urethra closure. (The hand touching the penis becomes contaminated.)
With your dominant hand, use forceps to pick up a cotton ball saturated with antiseptic solution.
Cleanse the meatus first with one circular stroke using the forceps.
Discard the swab into plastic wrap at the foot of the bed.
Repeat circular motion around the head of the penis, cleansing three times.

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Description

This quiz covers the essential procedures for urinary catheterization, including indications, contraindications, and potential side effects. Understand the proper techniques and clinical applications of urinary catheters in various medical scenarios to ensure effective patient care.