Put the following steps for catheter insertion in order.
Gather supplies
Obtain urine specimen
Review the physician order
Secure the bag to leg
Perform pericare
The Correct Answer is C,A,E,B,D
a. Gather supplies:
Needed after verifying the order to ensure all equipment is available for a sterile procedure.
b. Obtain urine specimen:
Done after insertion of the catheter once urine is seen in the tubing.
c. Review the physician order:
Always the first step-you must ensure there is a valid order before performing a procedure.
d. Secure the bag to leg:
This is the last step to prevent pulling on the catheter and ensure patient comfort.
e. Perform pericare:
Perineal care helps reduce the risk of infection and is done before insertion.
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Related Questions
Correct Answer is C
Explanation
A. Emptying the drainage bag when half full:
This helps prevent backflow and tension on the catheter. It is an appropriate action.
B. Kinking the catheter tubing to obtain a urine specimen:
While not ideal, temporary kinking (with care) may be done to collect a specimen. This is not the worst safety breach.
C. Placing the drainage bag on the side rail of the patient's bed:
The bag must be kept below bladder level to prevent reflux and infection. Side rails can move, leading to unsafe positioning.
D. Securing the catheter tubing to the patient's thigh:
Properly securing the catheter prevents traction and reduces the risk of injury or dislodgement.
Correct Answer is C
Explanation
A. Inform the patient that she is counting respirations:
This may lead the patient to alter their breathing pattern, making the result inaccurate.
B. Do not touch the patient until completed:
Touch is not contraindicated, and hand placement on the chest can assist in counting if needed.
C. Obtain without the patient knowing:
This is correct. Most accurate respiratory assessments are done while appearing to check pulse, to prevent voluntary changes in breathing.
D. Estimate respirations:
Estimating is not acceptable and may lead to inaccurate data that affects patient care.
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