Inquire through: | Professional | Confidential Support
Interventions Exam 1 Verified and Updated
Questions and Answers (100% Correct
Answers)
Reasons for Urinary Catheterization
Answer: • Monitor output
• Keep bladder empty
• Monitor critically ill (kidney function)
• Mechanical obstruction: swelling childbirth, prostatitis, prolapsed uterus
• Relieve urinary retention (If fluid stays in one spot it can lead to infection)
• Epidural anesthesia
• Obtain specimen (rare) (Ex. really need a specimen on someone who is completely
incontinent)
If someone has an inflamed prostate but can still pass urine we would still
Answer: try and avoid a catheter
These days we only use _____ as a last resort
Answer: catheters
Catheters can lead to _____, one of the most common HAIs, and they lead to a very
high risk for infection so only use if needed
Answer: UTIs
Examples of a time when a Foley may be forcibly removed
Answer: agitated patient rips it out, collection bag not secured and gets tugged on
It is important to considerations that the bladder normally
Answer: empties frequently and is acidic environment (this has antibacterial
advantages)
The indwelling catheter is designed with a
Answer: balloon that inflates after insertion to keep it from sliding out of the
bladder
,Inquire through: | Professional | Confidential Support
These are two different types of drainage bags
Answer: • The one on the right has a meter component to allow for close monitoring
and measurement.
• The small green clip on the tubing allows attachment to keep the placement
dependent and draining by gravity and can be attached to the bottom of the hospital
gown during ambulation to prevent accidental removal (patient stepping on tubing or
it gets caught on something) Tubes should not touch or be on the floor to reduce
chances or contamination/infection.
Important considerations about the lower urinary tract
Answer: • Bladder is sterile
• Bladder infections can ascend to the kidneys
• External opening to the urethra can never be sterilized
• Kidney infections (pyelonephritis) can be serious
Urospetic
Answer: bloodstream infection from the urinary system
What is meant by saying the bladder has defense mechanisms?
Answer: • Important considerations about the bladder: normally bladder frequently
empties and is acidic environment (this has antibacterial advantages)
• The indwelling catheter is designed with a balloon that inflates after insertion to
keep it from sliding out of the bladder
Catheter Associated- Urinary Tract Infections (CAUTIs)
Answer: • Most common hospital acquired infection in the U.S.
• Catheterization should be avoided whenever possible
• Catheters should be removed as soon as possible
• The duration of the catheter is the biggest risk factor for development of a UTI
(more so than the initial insertion)
Types of catheters
Answer: • Intermittent or straight catheters
, Inquire through: | Professional | Confidential Support
• People can be taught self-catherization, no need to be sterile (home setting), taught
clean technique
• Straight (Robinson)-single use, may be used to collect a sample, patients may be
able to do this at home
• Coudé-sometimes need to be placed by an advanced provider, used in patients with
prostate enlargement because they have a "scoop" on the end
• Indwelling catheters (or Foley)
• Indwelling with irrigation
• Suprapubic catheters-surgically placed through abdomen
Before you cath someone ask yourself
Answer: o Has this been OK in the past?
o When is the last time you voided?
o Do you have a latex allergy?
o Do you get frequent UTIs?
Most catheters are "______light" meaning
Answer: "latex light"
they don't have the component of latex that people are usually allergic to, some
people still have reactions
-There are silicone alternatives
Which catheter is especially useful if patient has to straight cath themselves multiple
times a day?
Answer: "No touch" Intermittent Catheter
Suprapubic Tube
Answer: o good if pt paralyzed from waste down (this is most common)
o trauma/inflammation to the area (like if they've straight cath'ed themselves so
many times
Interventions Exam 1 Verified and Updated
Questions and Answers (100% Correct
Answers)
Reasons for Urinary Catheterization
Answer: • Monitor output
• Keep bladder empty
• Monitor critically ill (kidney function)
• Mechanical obstruction: swelling childbirth, prostatitis, prolapsed uterus
• Relieve urinary retention (If fluid stays in one spot it can lead to infection)
• Epidural anesthesia
• Obtain specimen (rare) (Ex. really need a specimen on someone who is completely
incontinent)
If someone has an inflamed prostate but can still pass urine we would still
Answer: try and avoid a catheter
These days we only use _____ as a last resort
Answer: catheters
Catheters can lead to _____, one of the most common HAIs, and they lead to a very
high risk for infection so only use if needed
Answer: UTIs
Examples of a time when a Foley may be forcibly removed
Answer: agitated patient rips it out, collection bag not secured and gets tugged on
It is important to considerations that the bladder normally
Answer: empties frequently and is acidic environment (this has antibacterial
advantages)
The indwelling catheter is designed with a
Answer: balloon that inflates after insertion to keep it from sliding out of the
bladder
,Inquire through: | Professional | Confidential Support
These are two different types of drainage bags
Answer: • The one on the right has a meter component to allow for close monitoring
and measurement.
• The small green clip on the tubing allows attachment to keep the placement
dependent and draining by gravity and can be attached to the bottom of the hospital
gown during ambulation to prevent accidental removal (patient stepping on tubing or
it gets caught on something) Tubes should not touch or be on the floor to reduce
chances or contamination/infection.
Important considerations about the lower urinary tract
Answer: • Bladder is sterile
• Bladder infections can ascend to the kidneys
• External opening to the urethra can never be sterilized
• Kidney infections (pyelonephritis) can be serious
Urospetic
Answer: bloodstream infection from the urinary system
What is meant by saying the bladder has defense mechanisms?
Answer: • Important considerations about the bladder: normally bladder frequently
empties and is acidic environment (this has antibacterial advantages)
• The indwelling catheter is designed with a balloon that inflates after insertion to
keep it from sliding out of the bladder
Catheter Associated- Urinary Tract Infections (CAUTIs)
Answer: • Most common hospital acquired infection in the U.S.
• Catheterization should be avoided whenever possible
• Catheters should be removed as soon as possible
• The duration of the catheter is the biggest risk factor for development of a UTI
(more so than the initial insertion)
Types of catheters
Answer: • Intermittent or straight catheters
, Inquire through: | Professional | Confidential Support
• People can be taught self-catherization, no need to be sterile (home setting), taught
clean technique
• Straight (Robinson)-single use, may be used to collect a sample, patients may be
able to do this at home
• Coudé-sometimes need to be placed by an advanced provider, used in patients with
prostate enlargement because they have a "scoop" on the end
• Indwelling catheters (or Foley)
• Indwelling with irrigation
• Suprapubic catheters-surgically placed through abdomen
Before you cath someone ask yourself
Answer: o Has this been OK in the past?
o When is the last time you voided?
o Do you have a latex allergy?
o Do you get frequent UTIs?
Most catheters are "______light" meaning
Answer: "latex light"
they don't have the component of latex that people are usually allergic to, some
people still have reactions
-There are silicone alternatives
Which catheter is especially useful if patient has to straight cath themselves multiple
times a day?
Answer: "No touch" Intermittent Catheter
Suprapubic Tube
Answer: o good if pt paralyzed from waste down (this is most common)
o trauma/inflammation to the area (like if they've straight cath'ed themselves so
many times
