Correct Answers
Length of male urethra - correct answers ✔✔7-9 inches (20 cm)
Length of female urethra - correct answers ✔✔1 1/2 inches (4 cm)
What can cause bladder infection? - correct answers ✔✔When bladder falls into folds after
emptying creating pockets for bacteria to grow.
More likely to get UTI? - correct answers ✔✔Women, because the distance from outside to
inside via the urethra is much shorter.
Indwelling catheters are short-term or long-term? - correct answers ✔✔Can be both
Reasons for short-term Indwelling catheterization. - correct answers ✔✔-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. - correct answers ✔✔-Sever retention causing
UTIs
-Pressure injuries, wounds, maceration
,Never Events - correct answers ✔✔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 - correct answers ✔✔Quality Improvement initiatives are programs designed to improve
patient care outcomes.
Example of QIs - correct answers ✔✔Program that teaches patient to ask to have catheter
removed ASAP and nurse chart every day specifically if catheter still needed.
CAUTI Prevention - correct answers ✔✔-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? - correct answers ✔✔If within 15 minutes of insertion, get from
bag. After 15 minutes, get from port.
, Needed before Catheterization - correct answers ✔✔-Confirm order for reason why, type, and
size
-Review for allergies and duration to determine supplies
Plastic catheter - correct answers ✔✔intermittent (in and out)
Latex catheter - correct answers ✔✔3 weeks with no latex allergy
Silicon or Teflon catheter - correct answers ✔✔long-term and for Latex allergy. Decreases build-
up at meatus. Antimicrobial, coated with silver or antibiotics.
Straight cath - correct answers ✔✔For intermittent drainage (retention)
Coude cath - correct answers ✔✔tip is curved to maneuver enlarged prostates
Robinson 3-way cath - correct answers ✔✔has 3rd port for bladder irrigation which helps to
flush and prevent clots.
Balloon size for children - correct answers ✔✔3 ml
Balloon size for adults - correct answers ✔✔5 ml (filled with 10 ml sterile water)
Balloon size for continual bladder irrigation - correct answers ✔✔30 ml
Reason to no use Normal Daline to inflate balloon? - correct answers ✔✔Chemical reaction
causing water to crystallize prevent balloon removal.