CHAPTER 48 / Urinary Elimination 1307

P E R F O R M I N G URETHRAL URINARY CATHETERIZATION

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> Tape the catheter tube to the inside of a female client's thigh.

Placement of indwelling catheter and inflated balloon in A, female client; and B, male client. Tape the catheter tube to the thigh or abdomen of a male client.

20. Examine and measure the urine. In some cases, only 750 to 1,000 mL of urine are to be drained from the bladder at one time. Check agency policy for further instructions if this should occur. 21. Remove the straight catheter when urine flow stops. For an indwelling catheter, secure the cathctcr tubing to the inner thigh for female clients or the upper thigh/abdomen for male clients with enough slack to allow usual movement. Tape or a manufactured catheter-securing device should be used to secure the catheter tubing to the client. This prevents unnecessary trauma to the urethra. Also secure the collecting tubing to the bed linens and hang the bag below the level of the bladder. No tubing should fall below the top of the bag. @ 2 2 . Wipe the perineal area of any remaining antiseptic or lubricant. Replace the foreskin if retracted earlier. Return the client to a comfortable position. 23. Discard all used supplies in appropriate receptacles and wash your hands. 2 4 . Document the catheterization procedure including catheter size and results in the client record using forms or checklists supplemented by narrative notes when appropriate.

) Correct position for urine drainage bag and tubing.

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