Pass Solutions 2025-2026 Updated.
Straight catheter - Answer intermittent and removed immediately after draining
- used for people who are more prone to infection
3-way catheter - Answer indwelling catheter used for CBI (prostate surgery)
Coude catheter - Answer a type of curved-tip urinary catheter used for intermittent removal
of urine from the bladder in males with enlarged prostate
Indwelling "foley" catheter - Answer left in bladder for continuous urinary draining
- less than 30 days
Why do we use catheters? - Answer to drain urine or deliver fluids and medication
Suprapubic catheter - Answer catheter inserted into the bladder through a small abdominal
incision above the pubic area
- when someone is unable to urinate on their own
Condom catheter - Answer A catheter that has an attachment on the end that fits onto the
penis, non-invasive method
- used for urinary incontinence
Main concern in catheterization? - Answer infection
What do we call a UTI caused by a catheter? - Answer CAUTI
What is the most common health care associated infection? - Answer CAUTI
Signs and symptoms of CAUTI? - Answer - lower abdomen or back pain
- blood in urine or cloudy abnormal color
- fever
- frequent and strong urge to urinate, burns when urinating
- confusion
,What do we check when we suspect CAUTI? - Answer WBC count
Preventing CAUTI - Answer - secure the tube loosely, leaving slack
- keep drainage bag below bladder
- empty bag when 1/2 full
- secure bag to thigh during ambulation
- secure to bed frame or chair (non moveable objects) while at rest
Why do we bladder scan? - Answer - to confirm urinary retention
- to see post void residual (how much pee is left after voiding)
When should the patient void before a bladder scan? - Answer 10 minutes before
How many bladder scans do you do? - Answer 3
Expected outcomes of bladder assessment? - Answer - bladder IS NOT palpable
- patient reports no discomfort
- urine output is at least 30mL/hr
- urine is amber in color and free of sediment
What to evaluate - Answer - palpate bladder for distension
- observe the urine in drainage system
- observe character (color, smell, pH) and amount
Bowel elimination problems - Answer constipation, impaction, diarrhea, incontinence,
flatulence, hemorrhoids
Constipation - Answer hard stools difficult to eliminate (solid feces, no water)
Hemorrhoids - Answer dilated, engorged veins in lining of rectum
Incontinence - Answer Inability to control passage of feces and gas
Diarrhea - Answer Increase in the number of liquid stools
, Flatulence - Answer Accumulation of gas in the intestinal walls
Impaction - Answer a collection of hardened feces wedged in the rectum that a person
cannot expel
Interventions to help bowel elimination - Answer - at least 1500 mL/day + hot liquids in AM
- exercise (walk at least 4x a day)
- diet (eat fiber and avoid protein)
- medications (laxatives)
- digital removal if enemas fail to remove feces
Fecal occult blood testing - Answer checks for hidden blood in stool that can be related to
colon cancer
What color indicates a positive fecal occult blood test? - Answer blue
How many times do we take the fecal occult blood test? - Answer 3
True or false: enemas are sterile - Answer false
What position should patient be in while receiving an enema? - Answer Sims
What if patient experiences cramping during enema? - Answer Normal reaction
Would holding enema bag higher or lower slow down the infusion? - Answer lower, due to
gravity
Bowel diversions - Answer - colostomy
- ileostomy
Colostomy - Answer connects large intestine to abdominal wall
- more formed stool
- more permanent