N5451 Skills Lab > Video Quizzes > Module 14. Urinary Catheters

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

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

When obtaining a urine specimen from an indwelling urinary catheter, how would the nurse clean the aspiration port?

With an alcohol wipe.

The nurse is obtaining a urine specimen from a client with an indwelling urinary catheter. From what part of the system would the nurse get the urine for the specimen?

The port

The nurse is caring for a 72‑year‑old male client 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?

"Do you have a history of prostate problems?"

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

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

What instruction would the nurse give the client before removing an indwelling urinary catheter?

"Take several slow, deep breaths."

The nurse is caring for a male client who requires insertion of an indwelling urinary catheter. The client is quite anxious about the procedure and asks the nurse what he can do during the procedure to help it go more smoothly. What is the best response by the nurse?

"Taking deep breaths and bearing down during the procedure may make passage of the catheter through the urethra easier."

A client with an indwelling urinary catheter has a PRN prescription for intermittent catheter irrigation. The nurse notices there is no urine coming out of the catheter and that the client is complaining of bladder pain and pressure. What might the nurse do to rectify this situation?

Irrigate the catheter with normal saline to restore patency.

The nurse is collecting a urine sample from the port of the client's catheter drainage tubing. How much urine is generally collected for a sample unless otherwise indicated by the facility?

10 mL

When placing an indwelling urinary catheter, where should the nurse hold the catheter?

2 to 3 in (5 to 7.5 cm) from the tip of the catheter

The nurse is placing an indwelling urinary catheter for a female client. Once urine drains into the catheter tubing, what should the nurse do next?

Advance the catheter an additional 2 to 3 in (5 to 7.5 cm).

The nurse is obtaining a urine specimen from a client with an indwelling urinary catheter. Which must the nurse wear during this procedure?

Nonsterile gloves

The nurse is inserting an indwelling urinary catheter for a female client. Despite several tries, the nurse cannot get the catheter to advance into the bladder. What is the next action by the nurse?

Notify the client's health care provider.

The nurse is positioning a client for the removal of an indwelling urinary catheter. Where should the nurse stand during the procedure?

On the client's left side, if left handed.

The nurse irrigates an indwelling urinary catheter through a closed system. Why is this preferable to opening the catheter?

Opening the catheter can lead to contamination and infection.

What would the nurse do with an indwelling urinary catheter immediately after removing it?

Place it on the waterproof pad and wrap it in the pad.

The nurse is caring for a female client with an indwelling urinary catheter. Upon entering the room, the nurse notices that the client has placed the catheter bag next to her in bed. The client's bladder is distended, and she reports of bladder pain. What is the correct action by the nurse?

Place the catheter bag lower than the client and assess for the flow of urine.

When removing an indwelling urinary catheter from a client, the nurse notices resistance while attempting to pull out the catheter. What would be the immediate intervention in this situation?

Reattach the syringe to the port, aspirate again, and reattempt catheter removal.

The nurse is inserting an indwelling urinary catheter for an uncircumcised male client. After the catheter has been anchored properly, what is an important step for the nurse?

Replace the foreskin into its non‑retracted position.

What are important elements for the nurse to remember regarding proper attachment of an indwelling urinary catheter for a male client? Select all that apply.

Secure catheter tubing to the client's inner thigh or lower abdomen. Leave slack in catheter to ensure ease in client leg movement. Place drainage bag below the level of the bladder.

The nurse is inserting an indwelling urinary catheter for a female client. The client moves her leg accidently, contaminating supplies. What is the correct action by the nurse?

Stop the procedure, obtain new supplies, and restart procedure.

When collecting a urine sample from the port of the client's catheter drainage tubing, the nurse inserts the syringe into the aspiration port, slowly aspirates enough urine for the specimen, and removes the syringe. What would be the nurse's next step?

Unclamp the drainage tubing.

Prior to indwelling urinary catheter insertion for a female client, how should the nurse cleanse the perineal area?

Wipe from above urinary orifice downward toward sacrum.

The nurse is inserting an indwelling urinary catheter for a female client. The nurse notes that no urine flow is obtained and that the catheter appears to be in the vaginal orifice. What is the next step by the nurse?

Leave the misplaced catheter in place as a marker and repeat the procedure with a new catheter.

A nurse is caring for a female client with an indwelling urinary catheter. While performing client assessment, the nurse notes urine leaking around the catheter. What is the correct response by the nurse?

Remove the current catheter and reinsert a new one.

A nurse is performing a catheterization of a male client. The nurse meets resistance when advancing the catheter. What should the nurse try before stopping the procedure and notifying the health care provider?

Stop for a moment and have the client take several slow, deep breaths.

The nurse clamps the catheter drainage tubing to collect a urine specimen from a client's indwelling urinary catheter. How long can the nurse leave the tubing clamped to obtain a sufficient amount of urine?

Up to 30 minutes.

For which client would clamping or bending back a catheter drainage tube to collect a urine specimen most likely be contraindicated?

A client post bladder surgery.

The nurse is performing an irrigation of the client's catheter using a closed system. What should the nurse use to disinfect the aspiration port?

An antimicrobial swab.

The nurse is removing an indwelling catheter from a client on bed rest following bowel surgery. At what point in the procedure would the nurse deflate the balloon?

Before removing the catheter

The nurse is collecting a urine sample from an indwelling urinary catheter. Prior to cleaning the aspiration port, what would be the appropriate nursing action?

Bend the drainage tubing back on itself distal to the port.

The nurse is caring for a female client with an indwelling urinary catheter. The nurse notes that the catheter is not draining. What is the correct action by the nurse?

Check the catheter tubing for kinks or twisting.

The nurse is caring for a female client with an indwelling urinary catheter. The nurse notes that the catheter is not draining. What is the first action by the nurse?

Check the catheter tubing for kinks or twisting.

The nurse is irrigating a client's urinary catheter using a closed system. What action would the nurse perform after cleansing the access port on the catheter?

Clamp or fold the catheter tubing below the access port.

The nurse receives a prescription to remove an indwelling urinary catheter from a client who is pregnant and on bed rest. The nurse should be sure to maintain which safety protocol when performing this procedure?

Clean technique

When obtaining a urine specimen from an indwelling urinary catheter, the nurse places a label on the specimen container. How should the nurse check the information on the specimen label?

Compare it to the client identification band.

The nurse prepares for insertion of an indwelling urinary catheter for a female client. Prior to catheter insertion, what should the nurse do? Select all that apply.

Confirm the medical prescription for indwelling catheter insertion. Assess the client's degree of physical limitations. Question the client about any allergies to latex or iodine.

The nurse is caring for a female client with an indwelling urinary catheter. The client reports sudden pain and urethral spasm. What is the best action by the nurse?

Deflate the balloon, remove the catheter, and replace.

The nurse meets resistance when inserting a Foley catheter into a client. What would be the recommended action in this situation?

Do not force the catheter.

The nurse has finished collecting a urine specimen from the client's indwelling urinary catheter. What would the nurse do with the collected specimen to prepare it to be sent to the lab?

Empty the urine from the syringe into a specimen cup with a lid.

A client reports a burning sensation when urinating for the first time following the removal of an indwelling urinary catheter. In this situation, what would be the nurse's intervention?

Inform the client that this is normal for the first few voids.

When removing an indwelling urinary catheter from a client, the nurse prepares to deflate the catheter balloon. Which is the proper method for deflating the balloon?

Insert a syringe into the balloon inflation port and allow the water to come back by gravity.

The nurse is caring for a male client with an indwelling urinary catheter. Where does the nurse correctly place the bag of the catheter?

attached to the bed itself lower than the client

The nurse is caring for a client with an indwelling urinary catheter. For this client, the nurse plays a key role in prevention of which most common complication?

catheter‑associated urinary tract infections

The nurse prepares for insertion of an indwelling urinary catheter for a male client. The nurse is right‑handed. Where should the nurse stand to perform the procedure?

on the client's right side

The nurse is inserting an indwelling urinary catheter for an uncircumcised male client. Prior to filling the catheter balloon, how far should the nurse insert the catheter?

to the catheter bifurcation