A nurse is inserting an indwelling urinary catheter for a male patient. Which action will the nurse take??

Hold the shaft of the penis at a 60-degree angle.

Hold the shaft of the penis with the dominant hand.

Cleanse the meatus 3 times with the same cotton ball from clean to dirty.

Cleanse the meatus with circular strokes beginning at the meatus and working outward

Answer and Explanation

The Correct Answer is D

A. Hold the shaft of the penis at a 60-degree angle:
The penis should be held at a 90-degree angle (perpendicular to the body) to straighten the urethra and ease catheter insertion.

B. Hold the shaft of the penis with the dominant hand:
The non-dominant hand is used to hold the penis and is considered contaminated after touching the patient. The dominant hand inserts the catheter using sterile technique.

C. Cleanse the meatus 3 times with the same cotton ball from clean to dirty:
A new cotton ball or swab should be used each time to prevent contamination. "Clean to dirty" implies incorrect direction-meatus is the cleanest part.

D. Cleanse the meatus with circular strokes beginning at the meatus and working outward:
This is the correct technique for male catheterization. Start at the urethral opening and clean outward using sterile technique.

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Correct Answer is ["B","C"]

Explanation

A. Increasing fluid intake:
This is encouraged after catheter removal to flush the bladder and promote urination. No follow-up is needed unless overdone.

B. Dribbling of urine:
This may indicate urinary incontinence or incomplete bladder control, which requires assessment.

C. Voiding in small amounts:
Could indicate urinary retention or incomplete emptying of the bladder, requiring follow-up.

D. Voiding within 6 hours of catheter removal:
This is expected. Patients should void within 6–8 hours post removal.

E. Burning with the first couple of times voiding:
Mild burning may be expected due to urethral irritation and does not usually require follow-up unless it persists or worsens.

A. Clean injection port. B. Inject prescribed solution. C. Twist needleless syringe into port. D. Remove clamp and allow to drain. E. Clamp catheter just below specimen port. F. Draw up prescribed amount of sterile solution ordered.

Correct Answer is F,E,A,C,B,D

Explanation

1. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.

2. Inject prescribed solution:
Done only after the syringe is connected to the port.

3. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.

4. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.

5. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.

6. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.

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A nurse is inserting an indwelling urinary catheter for a male patient. Which action will the nurse take??

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which findings should the nurse follow up on after removal of a catheter from a patient? (Select all that apply)

Correct Answer is ["B","C"]

Explanation

The patient has a catheter that must be irrigated. The nurse is using a needleless closed irrigation technique. In which order will the nurse perform the steps, starting with the first one?

Correct Answer is F,E,A,C,B,D

Explanation

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