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NRSG 301: Catheters – Questions With Comprehensive Solutions

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NRSG 301: Catheters – Questions With Comprehensive Solutions

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NRSG 301
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NRSG 301: Catheters – Questions With Comprehensive
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Terms in this set (70)



Intermittent catheterization - Inserted drain to empty bladder and then immediately
removed


Indwelling catheter - Catheter remaining in the bladder


Straight catheter - Single lumen tube with a small eye opening about 1.25cm


Foley catheter - Double lumen catheter
- Larger lumen drains urine from the bladder while the smaller
lumen is used to inflate a balloon at the tip of a catheter to
hold catheter in place


Latex catheter - Seldom used to allergy


Silastic catheter - Used for short periods only


Silicon catheters - Use silicone or rubber
- Can be used for up to 2-3months


Coude tip catheter - Curved tip
- May be used for men with BPH


3 way catheter - Has a third lumen which sterile irrigating fluid can flow into
the bladder for drainage


How long can a plastic catheter remain in 1 week or less
situ?


How long can a silicone or rubber catheter 2 or 3 weeks
remain in situ?


How long can a silicone catheter remain in 2-3 months
situ?


What are some indications for a short term - Study of anatomical structures of urinary system
catheter? - Urodynamic testing
- Collection of sterile urine sample
- Installation of medications into bladder

, What are some indications of long term - Relief of urinary retention
catheterization? - Bladder decompression preoperatively or postoperatively
- facilitation of surgical repair of urethra and surrounding
structures
- Facilitate healing after trauma to urethra
- Accurate measurement of urinary output
- Measurement of residual urine after urination
- Contamination of pressure ulcers
- Terminal illness or severe impairment


What should you use to inflate the balloon sterile water
of a catheter?


Post-void residual Amount of urine left in the bladder after urinating


How should you position a male for - Supine, thighs slightly abducted or apart
catheterization?


How should you position a female for Supine, with knees flexed, feet about 50cm apart and hips
catheterization? slightly externally rotated


How should the urethral meatus be - Use non-dominant hand to grasp penis
cleansed on a male? - Hold penis firmly upright
- Pick up cleansing ball and wipe from centre of meatus in
circular motion around the glans
- Repeat 3 times


How should the urethral meatus be - use non-dominant hand to spread the labia
cleansed on a female? - Pick up a cleansing ball and wipe one side of labia in an
anteroposterior direction
- Use new ball for opposite side
- use last ball to cleanse directly over the meatus


How far do you advance the urinary - Advance the catheter 5cm farther after the urine begins to
catheter? flow through it


How can you tell if the catheter is inserted in - When urine starts flowing through the tube
the right place?


Asymptomatic bacteria - Considered a normal state for individuals with indwelling
catheters


What should you do if a pt develops - Remove existing catheter and insert a new one
symptomatic bacteriuria (symptoms of a
UTI)


What should a nurse do if a pt with - Remove catheter and insert new one
indwelling foley catheter develops fever, - Obtain specimen for culture and sensitivity
chills and flank pain?


How much water should you encourage 1.5-2 liters a day
someone with a catheter to drink?


What is "bypassing"? When urine is leaking around the catheter

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