The primary reason for taping an indwelling catheter laterally to the thigh of a male client is to:
A. Eliminate pressure at the penoscrotal angle.
B. Prevent the catheter from kinking in the urethra.
C. Prevent accidental catheter removal.
D. Allow the client to turn without kinking the catheter.
Correct Answer: A. Eliminate pressure at the penoscrotal angle
The primary reason for taping an indwelling catheter to a male client is so the penis is held in a lateral position to prevent pressure at the penoscrotal angle. Prolonged pressure at the penoscrotal angle can cause a urethrocutaneous fistula.
Option B: Firm-fitting underwear can sometimes cause kinks, therefore males are advised to wear loose-fitting underwear. Check for and remove any kinks in the catheter or the drainage bag tubing. Check the position of the catheter and drainage bag. Ensure the bag is positioned below the bladder when the client is lying, sitting, or standing.
Option C: The catheter should not fall out because it is held in place by a small balloon which is inflated with sterile water after the catheter is inserted into the bladder. On rare occasions the balloon might be faulty and deflate and the catheter will fall out.
Option D: Check that the leg bag straps are fitted correctly and are not causing drainage bag obstruction. Remind the patient to relax and check the positioning. Place the catheter in at the correct angle.
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