NUR 330 Week 5

NUR 330 Week 5
1. External urinary catheter
Answer
fits over the penis, providing a safe and noninvasive way to contain urine
catheter may be attached to a small-volume (leg) drainage bag or a large-volume (bedside)
urinary drainage bag, both of which need to be kept lower than the level of the bladder
suitable for incontinent patients who have complete and spontaneous bladder emp- tying
less risk for urinary tract infection (UTI) than indwelling catheters; excellent option for the male
with urinary incontinence
applying a condom catheter can be delegated to NAP make sure to monitor urine intake and
output
Condom catheters can be applied only to intact skin and The pubic area should not be shaved
because it may increase risk for skin irritation
Penile shaft should be at least 2 cm (5 inches) in length to ensure successful application. If too
small, condomcathetermay fall off and compress urethra,stopping urine flow or causing local
tissue trauma; if too big the catheter may leak or fall off
Excessive wrinkles or creases in external catheter sheath after application may mean that patient
needs smaller size
Be sure that condom is not twisted. Twisted condom obstructs urine flow, causing urine
pooling, skin irritation; and weakening and deterioration of adhesive, causing catheter to come
off
2. Fecal Impaction and Digital Removal
Answer
Fecal impaction is the inability to pass a collection of hard stool, mentally incapacitated
individuals and institutionalized older adults are at greatest risk
Symptoms of fecal impaction include constipation, rectal discomfort, anorexia, nau- sea,
vomiting, abdominal pain, diarrhea (leaking around the impacted stool), and urinary frequency.