The nurse is teaching a client about self-catheterization in the home setting. Which instructions are applicable? (Select all that apply.)
a. "Wash your hands before and after self-catheterization."
b. "Use a large-lumen catheter for each ca-theterization."
c. "Use lubricant on the tip of the catheter before insertion."
d. "Self-catheterize every 12 hours."
e. "Use sterile gloves for the procedure."
f. "Maintain a specific schedule for cathete-rization."
A, C, F
The key points in self-catheterization include washing hands, using lubricants, and maintaining a regular schedule to avoid distention and retention of urine that leads to bacterial growth. A smaller rather than a larger lumen catheter is preferred. The client needs to catheterize more often than every 12 hours. Self-catheterization in the home is a clean procedure.
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