NCLEX-PN® ExaminationBasic Care and ComfortMedium
An LPN is preparing to insert an indwelling urinary catheter for a male client. Which action is most important for the LPN to take to ensure client comfort and prevent injury during insertion?
- APosition the client in a supine position with legs straight.
- BLubricate the catheter tip and at least 5-7 inches of the catheter.
- CInflate the balloon with 10 mL of sterile water immediately after insertion.
- DRetract the foreskin (if uncircumcised) and cleanse the meatus with antiseptic solution.
Show answer & explanationAnswer & explanation
Correct answer: B. Lubricate the catheter tip and at least 5-7 inches of the catheter.
Proper and extensive lubrication of the catheter is crucial for a male client to reduce friction, minimize discomfort, and prevent urethral trauma during insertion, which has a longer and more curved urethra than females.
Why the other options are wrong
- A. While supine is a common position, positioning alone doesn't directly prevent injury during insertion as effectively as lubrication.
- C. Inflating the balloon should only occur after urine return is observed, confirming the catheter is in the bladder, not immediately after insertion, to prevent urethral injury.
- D. Cleansing the meatus is essential for infection prevention but does not directly prevent injury or discomfort during the physical insertion of the catheter.
Male Catheterization
The insertion of an indwelling urinary catheter into a male client's bladder requires specific techniques to navigate the longer, curved urethra safely and comfortably.
- Aseptic technique is paramount.
- Extensive lubrication is crucial.
- Balloon inflation only after urine return.
Memory trick: Lube Long, No Lacerations, Look for Liquid.