Fundamentals of Nursing Q 122
Which action represents the appropriate nursing management of a client wearing a condom catheter?
A. Ensure that the tip of the penis fits snugly against the end of the condom.
B. Check the penis for adequate circulation 30 min after applying.
C. Change the condom every 8 hours.
D. Tape the collecting tube to the lower abdomen.
Correct Answer: B. Check the penis for adequate circulation 30 min after applying
The penis and condom should be checked 1/2 hour after application to ensure that it’s not too tight. and the tubing is taped to the leg or attached to a leg bag. Condom catheters are external urinary catheters that are worn like a condom. They collect urine as it drains out of your bladder and send it to a collection bag strapped to your leg. They’re typically used by men who have urinary incontinence (can’t control their bladder).
Option A: A 1 in. space should be left between the penis and the end of the condom. Place the condom over the tip of the penis and slowly unroll it until it gets to the base. Leave enough room at the tip (1 to 2 inches) so it won’t rub against the condom.
Option C: The condom is changed every 24h. Condom catheters should be replaced every 24 hours. Throw away the old one unless it’s designed to be reusable. The collection bag should be emptied when it’s about half full or at least every three to four hours for a small bag and every eight hours for a large one.
Option D: An indwelling catheter is taped to the lower abdomen or upper thigh. Use a nonadhesive condom catheter to help prevent irritation from adhesive. An inflatable ring holds it in place. Keep the bag lower than the bladder to avoid backflow of urine from the bag. Securely attach the tube to the leg (below the knee, such as the calf), but leave a little slack so it doesn’t pull on the catheter.