Urinary Catheter Insertion

Question 1

what are the supplies needed for catheter insertion

Answer 1

catheter kit

clean gloves

Question 2

what are 8 steps when preparing for care

Answer 2

1. clean work surface
2. HH
3. don clean gloves
4. position pt
5. open kit/remove tray
6. position tray between pt legs
7. cleanse genetalia
8. remove soiled gloves

Question 3

what is a good starting place for catheter size of an adult

Answer 3

14-16Fr

Question 4

after opening the sterile kit, gloving up, position underpad and drape what are the 5 steps of preparing the cath insertion

Answer 4

1. open providone-iodine
2. pour solution onto the 3 foam swabs
3. attach syringe filled with sterile water to inflation port
4. locate green syringe with lubricant. pour all of lubricant into tray
5. remove filet from the blue wrap and place in lubricant

Question 5

on a female, what hand do you expose meatus by spreading the labia

Answer 5

non dominant hand

Question 6

what are the 3 swabs used on for a woman

Answer 6

first is inner aspect of labia minor farthest from you
second is labia closest to you
third is middle area between labia

Question 7

what hand do you hold the penis with

Answer 7

non dominant

Question 8

what are the 3 swabs used on for a woman

Answer 8

clean at meatus in a circular motion and repeat

Question 9

if foreskin is retracted it ____ be returned to original position to prevent ____ of the penis

Answer 9

must; necrosis

Question 10

after lubricating catheter how far should you insert into a female

Answer 10

half the length of the catheter to ensure balloon is fully in the bladder

Question 11

urine should return ____ catheter is advanced to half length

Answer 11

before

Question 12

hold penis at ___ angle and insert catheter in a downward direction and ____ catheter to the y section

Answer 12

90 degree; advance

Question 13

after insertion is successful what do you do

Answer 13

secure catheter to leg strap
secure drainage bag on bed frame below bladder
measure urine and document

Question 14

when removing catheter what are the 6 steps

Answer 14

1. empty drainage unit and measure output
2. insert 10 mL syringe into balloon port of catheter at y site
3. allow fluid to fill syringe passively
4. remove catheter and clean genitals
5. dispose of contaminated supplies
6. provide urinal or specipan for measuring voids after removal

Question 15

what MUST be removed before catheter removal to prevent urethral trauma

Answer 15

fluid from balloon