Urinary Catheter Management
Inserting an Indwelling Urinary Catheter in a Female Patient
Review Questions
1. Each of the following patients has an order for the insertion of an indwelling urinary catheter.
Which patient should receive priority in the completion of the ordered intervention?
1. 92-year-old Alzheimer¶s disease patient with a chronic pressure ulcer on the sacral area
2. 56 year-old patient experiencing acute renal failure requiring strict output measurement
3. 24-year-old severely mentally challenged patient with a fractured right femur
4. 18-year-old morbidly obese patient admitted with severe abdomen pain
2. Which of the following actions will minimize the patient¶s risk for injury during the insertion
of an indwelling urinary catheter?
1. Assessing the patient for allergies related to latex, antiseptic, tape, and/or an iodine-based
substance
2. Thoroughly cleansing the patient¶s perineal area with Betadine before inserting the urinary
catheter
3. Performing proper hand hygiene and donning sterile gloves before the insertion
4. Terminating the insertion if the patient reports pain at any time during the process
Mosby items and derived items © 2009 by Mosby, Inc., an affiliate of Elsevier Inc.
Review Questions
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3. Which of the following statements made by a nurse is most reflective of the proper
understanding of the role that unlicensed ancillary staff may play regarding the insertion of
an indwelling urinary catheter in a female patient who has been admitted for abdominal
surgery?
1. ³Please direct the light to better illuminate the patient¶s perineal area.´
2. ³Are you comfortable inserting a catheter in a patient of her size?´
3. ³We just got 14 French catheters up from central supply.´
4. ³Does the patient have any allergies to latex or iodine?´
4. The nurse has inspected the patient¶s perineum in preparation for the insertion of an
indwelling urinary catheter. Which of the following actions should the nurse complete next?
1. Begin to establish a sterile field.
2. Open and assemble the urinary drainage bag.
3. Remove soiled gloves and perform hand hygiene.
4. Place the drape so it is centered over the patient¶s labia.
5. Which of the following nursing actions is most appropriate when the female patient who is
placed in the dorsal recumbent position for the insertion of an indwelling urinary catheter
tells the nurse that she ³doesn¶t feel comfortable in this position´?
1. Assure the patient that the procedure will take only a few minutes.
2. Promise to reposition the patient as soon as the insertion is completed.
3. Reposition the patient into a side-lying position with her upper leg flexed at the knee and
hip.
4. Explain to her that the position will allow the insertion of the catheter to be more efficient.
Mosby items and derived items © 2009 by Mosby, Inc., an affiliate of Elsevier Inc.