NURC 1104 Practice Exam 2 Questions
With Guaranteed Pass Solutions.
Length of male urethra - Answer 7-9 inches (20 cm)
Length of female urethra - Answer 1 1/2 inches (4 cm)
What can cause bladder infection? - Answer When bladder falls into folds after emptying creating
pockets for bacteria to grow.
More likely to get UTI? - Answer Women, because the distance from outside to inside via the urethra is
much shorter.
Indwelling catheters are short-term or long-term? - Answer Can be both
Reasons for short-term Indwelling catheterization. - Answer -Inability to void (obstruction)
-Surgical repair of bladder, urethra, surrounding structures
-During surgery
-Blood clot prevention from surgery
-Output in critically ill patients
-Bladder irrigation
Reasons for long-term Indwelling catheterization. - Answer -Sever retention causing UTIs
-Pressure injuries, wounds, maceration
Never Events - Answer Preventable errors, which may include falls, CAUTIs, and pressure ulcers. CMS
dictates serious, preventable, costly events that should never happen. Began Quality Improvement
initiatives.
QIs - Answer Quality Improvement initiatives are programs designed to improve patient care outcomes.
,Example of QIs - Answer Program that teaches patient to ask to have catheter removed ASAP and nurse
chart every day specifically if catheter still needed.
CAUTI Prevention - Answer -Insert for right indications
-Remove as soon as able
-Inserted and maintained by properly trained professionals
-aseptic technique and sterile equipment
-Maintain unobstructed urine flow
-Don't share graduated cylinders with patients
-Empty drainage bag when 1/3-1/2 full
-Peri-care and Cath-care once per shift and after soiling
-Kepp bag off floor but below bladder.
-No dependant loops
-Securement device
-Bundle care
-Obtain urine samples using port with disinfectant and syringe
-Sterile, closed system
Where to obtain urine sample? - Answer If within 15 minutes of insertion, get from bag. After 15
minutes, get from port.
Needed before Catheterization - Answer -Confirm order for reason why, type, and size
-Review for allergies and duration to determine supplies
Plastic catheter - Answer intermittent (in and out)
Latex catheter - Answer 3 weeks with no latex allergy
, Silicon or Teflon catheter - Answer long-term and for Latex allergy. Decreases build-up at meatus.
Antimicrobial, coated with silver or antibiotics.
Straight cath - Answer For intermittent drainage (retention)
Coude cath - Answer tip is curved to maneuver enlarged prostates
Robinson 3-way cath - Answer has 3rd port for bladder irrigation which helps to flush and prevent clots.
Balloon size for children - Answer 3 ml
Balloon size for adults - Answer 5 ml (filled with 10 ml sterile water)
Balloon size for continual bladder irrigation - Answer 30 ml
Reason to no use Normal Daline to inflate balloon? - Answer Chemical reaction causing water to
crystallize prevent balloon removal.
How far to insert female catheter? - Answer Until urine flows and then an additional 1-2"
Unexpected outcomes of catheter insertion - Answer -enters vaginal opening
-contamination
-resistance
-pain
What to do when catheter enters vaginal opening - Answer leave in place as marker and get new kit.
start sterile procedure all over.
What to do when meeting resistance? - Answer Stop. Have someone else try. Call physician if
unsuccessful.
With Guaranteed Pass Solutions.
Length of male urethra - Answer 7-9 inches (20 cm)
Length of female urethra - Answer 1 1/2 inches (4 cm)
What can cause bladder infection? - Answer When bladder falls into folds after emptying creating
pockets for bacteria to grow.
More likely to get UTI? - Answer Women, because the distance from outside to inside via the urethra is
much shorter.
Indwelling catheters are short-term or long-term? - Answer Can be both
Reasons for short-term Indwelling catheterization. - Answer -Inability to void (obstruction)
-Surgical repair of bladder, urethra, surrounding structures
-During surgery
-Blood clot prevention from surgery
-Output in critically ill patients
-Bladder irrigation
Reasons for long-term Indwelling catheterization. - Answer -Sever retention causing UTIs
-Pressure injuries, wounds, maceration
Never Events - Answer Preventable errors, which may include falls, CAUTIs, and pressure ulcers. CMS
dictates serious, preventable, costly events that should never happen. Began Quality Improvement
initiatives.
QIs - Answer Quality Improvement initiatives are programs designed to improve patient care outcomes.
,Example of QIs - Answer Program that teaches patient to ask to have catheter removed ASAP and nurse
chart every day specifically if catheter still needed.
CAUTI Prevention - Answer -Insert for right indications
-Remove as soon as able
-Inserted and maintained by properly trained professionals
-aseptic technique and sterile equipment
-Maintain unobstructed urine flow
-Don't share graduated cylinders with patients
-Empty drainage bag when 1/3-1/2 full
-Peri-care and Cath-care once per shift and after soiling
-Kepp bag off floor but below bladder.
-No dependant loops
-Securement device
-Bundle care
-Obtain urine samples using port with disinfectant and syringe
-Sterile, closed system
Where to obtain urine sample? - Answer If within 15 minutes of insertion, get from bag. After 15
minutes, get from port.
Needed before Catheterization - Answer -Confirm order for reason why, type, and size
-Review for allergies and duration to determine supplies
Plastic catheter - Answer intermittent (in and out)
Latex catheter - Answer 3 weeks with no latex allergy
, Silicon or Teflon catheter - Answer long-term and for Latex allergy. Decreases build-up at meatus.
Antimicrobial, coated with silver or antibiotics.
Straight cath - Answer For intermittent drainage (retention)
Coude cath - Answer tip is curved to maneuver enlarged prostates
Robinson 3-way cath - Answer has 3rd port for bladder irrigation which helps to flush and prevent clots.
Balloon size for children - Answer 3 ml
Balloon size for adults - Answer 5 ml (filled with 10 ml sterile water)
Balloon size for continual bladder irrigation - Answer 30 ml
Reason to no use Normal Daline to inflate balloon? - Answer Chemical reaction causing water to
crystallize prevent balloon removal.
How far to insert female catheter? - Answer Until urine flows and then an additional 1-2"
Unexpected outcomes of catheter insertion - Answer -enters vaginal opening
-contamination
-resistance
-pain
What to do when catheter enters vaginal opening - Answer leave in place as marker and get new kit.
start sterile procedure all over.
What to do when meeting resistance? - Answer Stop. Have someone else try. Call physician if
unsuccessful.
