Catherization Theory

Front 1

the male urethra is apprx ___cm in length?

Back 1

20cm

Front 2

the fml urethra is appx ____ cm in length?

Back 2

2-3cm

Front 3

a normal bladder capacity can be as much as

Back 3

400-500ml

Front 4

the average adult usually excretes ___ml of urine in a 24hr period.

Back 4

1500ml-1600ml

Front 5

reasons for performing bladder catheterization include

Back 5

relief of distention due to acute or chronic retention
the need to provide continuous bladder irrigation
to determine residual urine following voiding
to obtain a sterile urine specimen

Front 6

normal charac of urine

Back 6

clear, amber

Front 7

blad cath req a phys order

Back 7

yes

Front 8

if a catheter size is not specified insert
female

Back 8

14-16

Front 9

catheterizatio

Back 9

involves introducing a narrow tube through the urethra and into the bladder to allow cont. flow of urine into a drainage receptacle

Front 10

cath in community care

Back 10

paralyzed

Front 11

cath in LTC
acute?

Back 11

distention
unable to move, broken hip

Front 12

indwelling: what? and why used?

Back 12

short term
-obstruction to urine outflow
-surgical repair of bladder&/or urethra
measurement of urinary output in critically ill clients
prevention of urethral obstruction from blood clots
continuous or intermittent bladder irrigations

Front 13

Long-term indwelling

Back 13

severe irinary retention with frequent UTI's
rashes,ulcers, or wounds irritated by urine

Front 14

intermittent

Back 14

relief of bladder discomf - distention(temp relief)
obtain a sterile urine specimen
assess residual urine
long-term mgmt of cl with spinal cord inj or neuromusc generation or incomp bladders.

Front 15

intermittent how?

Back 15

cath introd for 5-10min into blad(long enough to empty)
-single lumen w/ small opening about 1.3cm from the tip
urine drains from the tip, through the lumen to a receptacle.

Front 16

coude tip
straight single use
indwelling foley

Back 16

1)curved tip, male use for enlarged prostates
2)has a single lumen
3)retained in bladder by anchoring balloon against bladder neck. 2 lumens usually may have 3 for bladder irrigation.

Front 17

what determines catheter material selection

Back 17

expected time for catherization and size of cl urethral canal

Front 18

plastic cath

Back 18

intermittent(inflexible)

Front 19

balloon sizes
pediatric

Back 19

3ml

Front 20

balllooon
post op vol

Back 20

30ml prostate surgery

Front 21

adult op drainage

Back 21

5-10ml

Front 22

only ___ water should be used to inflate

Back 22

sterile

Front 23

maintain a ______ urinary drainage syst with an indwelling cath.

Back 23

closed

Front 24

urinary bags are plastic and can hold

Back 24

1000-1500ml

Front 25

most bags have an ______ valve that prevents urine from re-entering the drainage tubing

Back 25

anti-reflux

Front 26

empty every ___ hr and record ____

Back 26

8hr, input

Front 27

enteral route

Back 27

oral, nasogastric, rectal

Front 28

parenteral

Back 28

(IM,SC,IV)

Front 29

percutaneous

Back 29

(topical, mucous membranes)

Front 30

use well________ areas to prepare and give the medications

Back 30

lighted

Front 31

maintain ______ and ______ asepsis as necessary

Back 31

medical, surgical

Front 32

________ are never to be left unattended; when not attended they should be locked in a _____ place

Back 32

medications, secure

Front 33

explaine the purpose of the medication in terms the patient can _________

Back 33

understand

Front 34

_________ the cl appropriately for the route

Back 34

position

Front 35

administer medications ________ after preparation

Back 35

immediately

Front 36

stay with cl until admin is completed; med has been __________; no _________ at injection site and client repositions and comfortable; ___________ applied and client comfortable

Back 36

swallowed
bleeding
topical

Front 37

______ med admin immmediately

Back 37

chart

Front 38

where appropriate check to make sure medication is ______ and not ______

Back 38

current
outdated

Front 39

do not use med if the label is __________

Back 39

illegible

Front 40

identify when medications need _____

Back 40

refridgeration

Front 41

the nurse who prepares the med must be the one to ____ it

Back 41

give

Front 42

medication should not be left _____ w/ the client except by specific written order by the physician or facility procedures and protocols

Back 42

untaken

Front 43

when performig three checks of a med they are done

Back 43

as the med is being located
before it is poured
before it is returned

Front 44

these 3 checks ensure that the med is the corret one. each part of the label and med admin recor must be carefully read(not mindlessly) and compared ensuring that all of the folowing are correct and the same.

Back 44

pt
drug name
intened dose
route
time
documentation
knowledge

Front 45

especially careful about the ____ and ___ is it a liquid? tablet? eye drop? are you to give 1 tablet or two? 1/2 tabl?

Back 45

dosage and route.

Front 46

never give anything unlesss you know what

Back 46

IT IS

Front 47

pure silicon or teflon

Back 47

long term use 2-3months(decrease encrustaion)
-larger interior lumen
-may allow more efficient draining

Front 48

hydrophilic

Back 48

coated catheters
more comft
less likely to inflam urethral tiss than non hydrophilic

Front 49

clients who develope encrustations and blockage frequently should use

Back 49

an inexpensive catheter that is changed every 7-10days.