Urinary Catherization

Front 1

The purpose of urinary catheterization?

Back 1

assist w. normal elimination
eliminate urinary retention
certain surgical procedures

Front 2

Straight urinary catheterization ?

Back 2

inserted to drain the bladder and then immediately removed.
single lumen
small eye (opening) 1/2 inch from tip

Front 3

Retention catheterization

AKA

Foley catheterization

Back 3

double lumen. small lumen= used to inflate balloon to keep cath. in place.
large lumen=drains urine.
usually connected to a closed gravity drainage system.
closed system

Front 4

Closed retention systems

Back 4

cannot be opened anywhere along the system, from the catheter to collection bag.

Front 5

What should the nurse instruct the client to do before she advances the catheter?

Back 5

take a slow deep breath and then advance catheter as the client exhales.

Front 6

After urine begins to flow, how far should the nurse advance the catheter?

Back 6

another 2 inches, to be sure the catheter is within the bladder.

Front 7

What technique should the nurse apply when removing a catheter? Sterile or clean?

Back 7

clean technique

Front 8

Key points for the removal of a retention catheter?

Back 8

remove any tape used to keep catheter in place.
deflate balloon.
after all fluid is removed from the balloon, remove catheter=place in trash.
dry perineal area remove gloves
measure urine
compare intake and output

Front 9

During straight catherization of a female client, if the catheter slips into the vagina, the nurse should?

Back 9

leave the catheter in place and get a new sterile catheter.

Front 10

Sterile technique is required when inserting a catheter to prevent?

Back 10

ascending urinary infections

Front 11

What care is needed to the perineal area after there is a catheter inserted?

Back 11

no special meatus or perineal care is required. Routine perineal care is all that is needed.

Front 12

What should be done if the nurse observes sediment in the catheter or tubing or impaired urinary drainage?

Back 12

the nurse should remove the catheter and the drainage system and replaced with a closed catheter and drainage system

Front 13

What is a potential problem once a retention catheter is removed?

Back 13

may require bladder retraining to regain bladder muscle control( can be prevented by clamping catheter for periods of time before actual removal)
swelling of the urethra may inhibit voiding (should be assessed until voiding is reestablished.

Front 14

What is the purpose of bladder irrigation?

Back 14

maintain patency of urinary catheter and tubing= continuous irrigation
free a blockage in a urinary catheter or tubing=intermittent irrigation

Front 15

What is the purpose of a clean catch urine or midstream urine specimen?

Back 15

to determine the presence of microorganisms.
the type of organisms
the antibiotics the organisms are sensitive to

Front 16

clean voided urine is obtained for ?

Back 16

routine urinalysis

Front 17

A client is to obtain a clean-catch urine specimen. Which statement by the client demonstrates a lack of understanding regarding the procedure?

Back 17

"Urinate into the cup as soon as I start to go."

Front 18

A certified nursing assistant is collecting a 24-hour urine specimen from a client. Which statement by the assistant indicates that the specimen collection will need to be restarted?
"I used a container from the lab that has a preservative in it."
"The client voided in it right away, and I wrote the time on the container."
"I have the container in a plastic bucket with ice in it."
"I told the client that every single urination must be put in the container. If one is missed, call one of us."

Back 18

"The client voided in it right away, and I wrote the time on the container."

Front 19

client is to obtain a clean-catch urine specimen. Which statement by the client demonstrates a lack of understanding regarding the procedure?
"I should use all of the towelettes in the kit and use each only once."
"Urinate into the cup as soon as I start to go."
"I don't have to fill the cup. Just get an ounce or two."
"Put the cover on right away, without touching the inside of the cover or the cup."

Back 19

urinate into the cup as soon as I start to go.

Front 20

How are 24 hour urine specimen stored until completed?

Back 20

refrigerated or contain a preservative to avoid bacterial growth or decomposition of urine components

Front 21

What is the purpose of a timed urine collection?

Back 21

assess the kidney's ability to concentrate and dilute urine.
determine disorders of glucose metabolism EX: diabetes mellitus.
levels of specific constituents in the urine.

Front 22

To obtain a timed urine specimen.

Back 22

obtain container and preservative
label container
provide a clean receptacle to obtain urine.
post signs in room, kardex, bathroom
save all urine.
at the start of period have client void and then discard this sample.
avoid contamination w. toilet paper or feces
at end of period have client completely empty bladder and save urine
record collection of the specimen, time started, time stopped

Front 23

What happens if the client or staff forgets and discards the clients urine ?

Back 23

the procedure must be restarted from the beginning.

Front 24

reason for an indwelling catheter specimen

Back 24

to collect a sterile urine specimen

Front 25

to collect a specimen from a Foley (retention)catheter.

Back 25

clean gloves
if no urine:clamp catheter for 30min.
wipe area where needle will be inserted
insert needle at a 30-45 angle (helps self sealing of rubber)
unclamp catheter
withdraw required amount of urine
transfer the urine to container
discard syringe
cap container
remove gloves and discard
label container
record collection
note the procedure

Front 26

Aspiration of a urine specimen from an indwelling catheter can only be done if the catheter contains a ?

Back 26

self sealing rubber catheters.

Front 27

Hydrocolloid is an example of what type of dressing?

Back 27

an absorbent

Front 28

What should the nurse avoid when applying a transparent dressing?

Back 28

avoid stretching the dressing: which restricts movement.

Front 29

THe nurse knows she must use a ________
technique when applying a hydocolloid dressing.

Back 29

sterile

Front 30

What is the purpose of a hydrocolliod dressing?

Back 30

maintain moist environment
prevent entry of microorganisms
minimize discomfort
promote breakdown of necrotic material by white blood cells.
decrease frequency of dressing changes

Front 31

Removing a dressing requires what type of gloves?

Back 31

clean

Front 32

cleaning a wound and applying a new dressing requires what type of gloves?

Back 32

sterile

Front 33

After applying a transparent dressing the nurse documents?

Back 33

dressing change
wound status
clients response

Front 34

What is the best dressing for a pressure ulcer with a shallow, partial skin thickness, eroded areas but no necrotic areas.

Back 34

hydrocolloid

Front 35

Signs of urinary infection?

Back 35

burning
urgency
abdomial pain
cloudy urine
older clients=confusion

Front 36

Why should a client with a catheter be given large amounts of fluids?

Back 36

to encourage urine flow and minimize infetion, and the risk of sediment blocking the drainage tubing

Front 37

Condom catheter care

Back 37

leave a 1 inch space between the condom and the end of the penis.
secure the condom snugly: not tightly
inspect the penis 30 minutes after insertion.
change the condom every 24 hours.

Front 38

Catheter length
catheter gauge
for a male client

Back 38

40cm lenght
#18 gauge

Front 39

catheter length
catheter gauge
for a female client

Back 39

22 cm
#14 or #16 gauge