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28 Cards in this Set
- Front
- Back
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urinary catheterization
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placing a tube into the bladder to remove urine
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What technique is required to prevent transmission of infection?
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strict aseptic technique
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urinary diversions
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the surgical implantation of the ureters into a portion of the bowel or directly onto the abdominal wall to maintain a route for urinary elimination
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urinary catheterization is associated w/ an increased incidence of _________ infections
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nosocomial
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Name three things associated with increased risk of infection w/ catheter use
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1) Method and duration of catheterization
2) quality of catheter care 3) client susceptibilty |
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single-lumen catheters are used for _________ catheterization
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intermittent
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double-lumen catheters are used for ________ catheters
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indwelling
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triple-lumen catheters are used for ________ catheters
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continuous bladder irrigation
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the size of a urinary catheter is based on the _______ scale
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French
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Most adults should have a size ___ to ____ Fr to minimize trauma and risk for infection.
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14, 16
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A _____ balloon increases the volume of urine that pools below the level of the ______ ______ and increases the risk of infection
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increases, catheter lumen
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When should catheters be changed?
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When leaking, blockage occurs, and before obtaining a sterile specimen for urine culture
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Where should the drainage bag be kept?
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Below the level of the bladder on the bed frame or a chair
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What is needed before placing a catheter in someone?
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a physician's order
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Why should the client be asked about any allergies?
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Some catheters are made from latex, some people are allergic to iodine, and anaphylactic rxns may occur.
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Why should the client's gender and age be assessed q placing a catheter?
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determine catheter size
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Why should the client be asked when her last void occurred before catheterizing?
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Determines if urinary retention is likely.
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Why is the bladder palpated over the pubic symphysis?
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To determine if there is a full or overfull bladder
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What is the normal urine output per hour?
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30 ml
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What position should the female be placed in q instilling a catheter?
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dorsal recumbent (on back w/ knees flexed)
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What position should a male be placed in q instilling a catheter?
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Supine w/ legs extended and thighs slightly abducted
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Which side of the bed should a right-handed person stand on when instilling a catheter?
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left (it's the opposite side)
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How much of the catheter should be lubricated?
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1-2 inches for women, 5-7 inches for men
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How far should the catheter be inserted in the female patient?
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2-3 inches, or until urine flows out
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How far should the catheter be inserted in the male patient?
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7-9 inches, or until urine flows out
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Once urine flows out, how much further should the catheter be advanced?
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Males: to bifurcation of drainage and balloon inflation port
Females: 1-2 inches more |
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What should be done if client expresses pain q inflating balloon?
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Stop injection, withdraw fluid, advance catheter further, re inflate balloon.
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When should the drainage bag be emptied?
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When it is 1/2 to 2/3 full or q 3 to 4 hours.
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