Page 2519 - Saunders Comprehensive Review For NCLEX-RN

catheter until resistance is felt.
9. Secure catheter tubing to inner thigh with agency-approved securing device,
such as a StatLock.
10. Record type and size of catheter inserted, amount of fluid used to inflate the
balloon, characteristics and amount of urine, specimen collection if
appropriate, client’s response to procedure, and that teaching was completed.

Removal Procedure

1. Follow agency procedures.
2. Explain the procedure and its potential discomfort to the client.
3. Position the client in the same position as during catheterization.
4. Remove the securing device and place the towel between a female client’s
thighs or over a male client’s thighs.
5. Insert a 10-mL syringe into the balloon injection port. Slowly withdraw all of
the solution to deflate the balloon totally.
6. After deflation, explain to the client that she or he may feel a burning sensation
as the catheter is withdrawn. Pull the catheter out smoothly and slowly.
7. Assess the client’s urinary function by noting the first voiding after catheter
removal and documenting the time and amount of voiding for the next 24
hours.

Adapted from Potter P, Perry A, Stockert P, Hall A: Fundamentals of nursing, ed 8, St.
Louis, 2013, Mosby.

FIG. 69-10 A, Endotracheal (ET) tube with inflated cuff. B, ET tubes with uninflated and
inflated cuffs and syringe for inflation.

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