Urinary Catherization Nsg 132

Front 1

1. Placing one corner of the bath blanket pointed toward the client’s head to form a diamond over the client’s body is performed with (female or male)? clients for urinary catheterization.

Back 1

1. Female

Front 2

2. The urinary bladder is not normally palpable until it contains over (100 or 150) ml of urine.

Back 2

2. 150

Front 3

3. Suprapubic percussion of a full bladder would produce a (hollow or dull) sound.

Back 3

3. Dull

Front 4

4. Bladder pain may not be felt until the bladder is distended with (900 or 1400) ml of urine.

Back 4

4. 1400

Front 5

5. Position the plastic side of the female catheterization kit absorbent pad (up or down) under the client’s buttocks.

Back 5

5. Down

Front 6

6. The female client’s labia minora is separated throughout the cleansing procedure and (maintained or released PRN) until the catheter is inserted.

Back 6

6. Maintained

Front 7

7. Downward strokes are used to clean the meatus of the female, because downward strokes clean from (most to least or least to most) contaminated area.

Back 7

7. Least to most

Front 8

8. Inserting the urinary catheter 2 inches is implemented for the straight catheterization of a (male or female) client.

Back 8

8. Female

Front 9

9. Once urine ceases to flow with a straight catheterization, the catheter should be pinched closed as the catheter is withdrawn to prevent (bladder trauma or dribbling).

Back 9

9. Dribbling

Front 10

10. Placing a bath blanket over the client’s chest and fanfolding the top linen to cover the lower extremities is performed for the urinary catheterization of a (male or female) client.

Back 10

10. Male

Front 11

11. The male client is positioned supine with knees slightly flexed to (access the genitalia or relax the abdominal and perineal muscles) for a urinary catheterization.

Back 11

11. Relax the abdominal and perineal muscles

Front 12

12. A (fenestrated or non-fenestrated) drape is positioned over the penis of a male client for the urinary catheterization procedure.

Back 12

12. Fenestrated

Front 13

13. The male client’s meatus is cleansed in (downward or circular) strokes for catheterization.

Back 13

13. Circular

Front 14

14. The male client’s penis is held at a (45 or 90) degree angle to straight the urethra for easier catheter insertion.

Back 14

14. 90

Front 15

15. Evidence based research indicates the male urinary catheter should be inserted about (5 or 10) inches related to residual urine return.

Back 15

15. 10

Front 16

16. If catheter resistance is felt while inserting a male catheter, rotate the catheter, increase the traction, (decrease or increase) the angle of the penis and have the client take a deep breath.

Back 16

16. Decrease

Front 17

17. The urinary catheterization balloon is tested with 10 ml of sterile water to ensure (the correct amount of water is in the kit or the balloon will not leak when inflated).

Back 17

17. The balloon will not leak when inflated

Front 18

18. A (12 or 16) French urinary catheter may be easier to insert if the male client has prostatic hypertrophy.

Back 18

18. 12

Front 19

19. Insert urinary catheters just beyond the point at which urine begins to flow. This ensures the catheter is beyond the neck of the (bladder or rectum).

Back 19

19. Bladder

Front 20

20. If the client complains of pain with balloon inflation, the catheter may be in the (vagina or urethra) rather than the bladder.

Back 20

20. Urethra

Front 21

21. Female clients have their urinary catheters taped to their (thigh or abdomen).

Back 21

21. Thigh

Front 22

22. Urinary catheter bags should be attached to the (bed frame or side rail).

Back 22

22. Bed frame

Front 23

23. Male catheters are taped to the (thigh or abdomen) to prevent penoscrotal angle pressure.

Back 23

23. Abdomen

Front 24

24. If the catheter is inserted into the vagina during the female catheterization, the nurse should (leave the catheter in place or attempt to locate the urethra again with the same catheter).

Back 24

24. Leave the catheter in place

Front 25

25. When the urinary catheter cannot be inserted into the male client, (place the client in a side lying position or ask the client to cough).

Back 25

25. As the client to cough

Front 26

26. When urine flow immediately exceeds 700-1000 ml with a foley catheterization, the nurse should (remove or clamp) the catheter.

Back 26

26. Clamp

Front 27

27. Urine leaking around a urinary retention catheter may mean (the client needs a larger catheter size or the client is having bladder spasms).

Back 27

27. The client is having bladder spasms

Front 28

28. (1500 or 3000) ml of fluid should be encouraged, unless contraindicated, for catheterized clients experiencing a urinary tract infection.

Back 28

28. 3000

Front 29

29. Irrigating an open or closed urinary retention catheter system requires a sterile irrigation set and (sterile or clean) gloves.

Back 29

29. Clean

Front 30

30. It is recommended that the nurse attempt to (aspirate or dissolve) obstructing debris from the urinary catheter before irrigation is performed.

Back 30

30. Aspirate

Front 31

31. The amount of irrigating solution used to irrigate should be (added or subtracted) from the amount of return.

Back 31

31. Subtrated

Front 32

32. Irrigating a closed urinary retention system involves clamping the tubing just (distal or proximal) to the injection port. After injecting the irrigation solution, the tubing is unclamped

Back 32

32. Distal

Front 33

33. If irrigation outflow is less than expected from the urinary catheter, gently (aspirate or push in) any solution and clot in the catheter.

Back 33

33. Aspirate

Front 34

34. Clamp the retention catheter drainage tubing a few inches distal to the sample access port approximately (5 or 15) minutes before urine specimen collection.

Back 34

34. 15

Front 35

35. If an insufficient amount of urine is obtained when specimen collection is attempted from a retention catheter, assess for catheter kinks, and clamp the catheter tubing for (45 or 90) minutes.

Back 35

35. 45

Front 36

36. Hourly urine output of less than 30 ml/hr for two consecutive hours, or a 24 hour urine output less than 500 ml could indicate (polyuria or dehydration).

Back 36

36. Dehydration

Front 37

37. Residual urine in the bladder is normally less than (100 or 200) ml. following voiding.

Back 37

37. 100

Front 38

38. Applying a condom catheter (may or may not) be delegated to an unlicensed assistive personnel (UAP).

Back 38

38. May

Front 39

39. A condom catheter is applied with (sterile or clean) gloves. Following application, the penis should be checked 30 minutes later to assess for swelling and discoloration which would indicate the condom (is too tight or a flaccid reaction).

Back 39

39. Clean; is too tight

Front 40

40. Urinary catheters are sized by diameter of the lumen using the French scale. The larger the number, the (smaller or larger) the lumen.

Back 40

40. Larger

Front 41

41. The coude catheter is more rigid than other straight catheters and has a tapered, (curved or short) tip. This catheter is used for men with prostate enlargement.

Back 41

41. curved

Front 42

42. To expose the female urinary meatus, separate the labia minora and retract the tissue (downward or upward).

Back 42

42. Upward

Front 43

43. The urinary catheter is lubricated (1-2 or 6-7) inches for the male.

Back 43

43. 6-7

Front 44

44. Catheter care for an uncircumcised male would include retracting the foreskin to wash and dry the area, and then pulling the foreskin back down. This is done to prevent (phimosis or priapism) which is commonly caused by poor hygiene and chronic infection.

Back 44

44. Phimosis