The nurse is caring for a male patient who will be performing intermittent self-catheterization at home. Which actions by the patient indicate the need for additional teaching about this procedure? (Select all that apply.)
a. Patency of the balloon is tested prior to insertion of the catheter.
b. The catheter is inserted another 2 inches after urine is seen in the tubing.
c. The catheter is carefully secured to the leg to prevent accidental removal.
d. The foreskin is returned to its natural position after the catheter is removed.
e. Catheterization is performed regularly before the bladder becomes distended.
f.
Water-soluble lubricant is generously applied along the length of the catheter.
ANS: A, C, F
Only 5 to 8 inches of the catheter tip are covered with water-soluble lubricant. Patency of the balloon is only checked when indwelling catheters are inserted. Intermittent catheters need not be secured to the patient's leg because they will be removed after the bladder is drained.
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