The nurse is assigned a male client with a long-term in-dwelling catheter for incontinence. The nurse plans on performing which of the following to prevent complications?

  • perform perineal care using sterile technique
  • irrigate daily with 60 cc normal saline
  • restrict fluids to 1,500 cc/day
  • stabilize the catheter on the abdomen
Number 4 is correct.
Stabilizing the catheter for a male on the abdomen prevents meatus damage and erosion. Medical asepsis is adequate for perineal care. Routine irrigation is unnecessary. Unless medically contraindicated, fluids should be encouraged to 2,000 cc/day rather than restricted.