Page 2517 - Saunders Comprehensive Review For NCLEX-RN

FIG. 69-9 Ureteral and nephrostomy tubes.

Box 69-7
Urinary Catheters: Insertion and Removal

Procedures

Insertion Procedure

1. Follow agency procedures.
2. Explain the procedure and its potential discomfort to the client.
3. Place the client in position for catheterization:
Female: Assist to dorsal recumbent position (supine with knees flexed).
Support legs with pillows to reduce muscle tension and promote
comfort.
Male: Assist to supine position with thighs slightly abducted.
4. Wearing clean gloves, wash perineal area with soap and water as needed; dry
thoroughly. Remove and discard gloves; perform hand hygiene.
5. Open outer wrapping of the catheter kit, remembering that all components of
the catheterization tray are sterile (all supplies are arranged in the box in
order of sequence of use).
6. Apply waterproof sterile drape (when packed as first item in tray).
7. Urinary catheter procedure with specifics for male and female:
a. Place a sterile drape with plastic side down under the client’s

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