40 Questions
What is the primary purpose of keeping the drainage bag below the level of the patient's bladder during catheterization?
To maintain drainage of urine and prevent the backflow of urine into the patient's bladder.
What is the recommended frequency for emptying the drainage bag, and why is it important to follow this guideline?
The drainage bag should be emptied when it is one-half to two-thirds full or every 3 to 6 hours. This frequency helps maintain a closed system and prevents backflow of urine into the patient's bladder.
What is the purpose of using a sterile catheter kit during catheter insertion, and what are the essential components of this kit?
The sterile catheter kit is used to prevent infection during catheter insertion. The essential components include sterile gloves, sterile drapes, and a sterile catheter with a suitable size and balloon capacity.
Why is it essential to secure the catheter properly to the patient's thigh or abdomen after insertion?
Securing the catheter properly prevents accidental dislodgement, ensures continuous drainage, and reduces the risk of infection.
What is the recommended technique for obtaining urine samples during catheterization, and why is it important to follow this technique?
Urine samples should be obtained using aseptic technique via a closed system. This technique prevents contamination of the sample and reduces the risk of infection.
What is the purpose of leaving some slack in the catheter tubing?
To allow for leg movement
Why is it important to secure the drainage bag below the level of the bladder?
To facilitate drainage of urine and prevent backflow of urine
What is the rationale behind obtaining a urine specimen immediately from the drainage bag?
To access the sterile catheter system and prevent microorganisms from growing
Why is it important to position the patient comfortably and cover them with bed linens?
To promote warmth and comfort
What is the purpose of checking that the drainage tubing is not kinked and that movement of side rails does not interfere with the catheter or drainage bag?
To ensure proper drainage of urine and prevent complications
What is the primary purpose of positioning the bed in the lowest position during the application of an external condom catheter?
To promote patient safety
What is the consequence of not checking the drainage tubing for kinks during the application of an external condom catheter?
Backflow of urine
Why is it essential to remove gloves and additional PPE properly after applying an external condom catheter?
To reduce the risk of infection transmission and contamination of other items
What is the expected outcome of applying an external condom catheter in terms of urine output?
A urine output of at least 30 mL/hour
Why is hand hygiene performed after removing equipment and PPE during the application of an external condom catheter?
To prevent the spread of microorganisms
What is the primary reason for washing hands after using the urinal?
To prevent the spread of microorganisms.
What is the purpose of putting on clean gloves when emptying and cleaning the bedpan?
To prevent exposure to blood and body fluids.
Why is it necessary to reattach the call bell and adjust the head of the bed to a comfortable position after using the bedpan?
To promote patient safety and comfort.
What is the expected outcome when a patient uses a bedpan?
The patient voids using the bedpan.
What should be documented after assisting a patient with using a bedpan?
The patient's tolerance of the activity, the amount of urine voided, and any other assessments such as unusual urine characteristics or alterations in the patient's skin.
What is the primary purpose of assessing the patient's skin and urine characteristics during the urinal procedure?
To determine the patient's ability to assist with the procedure and identify potential risks for skin breakdown or infection.
Why is it important to review the patient's chart for limitations in physical activity before assisting with the urinal procedure?
To ensure that the patient's physical limitations do not contraindicate certain actions required during the procedure, and to plan accordingly.
What is the primary benefit of bringing all necessary equipment to the bedside stand or overbed table during the urinal procedure?
To conserve time and energy, and to avoid unnecessary stretching and twisting of muscles on the part of the nurse.
What is the expected outcome of offering a urinal to a patient?
That the patient is able to void with assistance.
Why is it important to use clean gloves and additional PPE as indicated during the urinal procedure?
To reduce the risk of infection transmission and maintain a sterile environment.
What measures can be taken to facilitate urine flow if there is no immediate flow of urine after catheter insertion?
Have the patient take a deep breath, rotate the catheter slightly, raise the head of the patient's bed, assess the patient's intake to ensure adequate fluid intake for urine production, and assess the catheter and drainage tubing for kinks and occlusion.
In what situations may the assistance of another staff member be necessary during catheter insertion?
If the patient is unable to lift buttocks or maintain the required position for the procedure.
What should be done if the catheter cannot be advanced during insertion?
Have the patient take several deep breaths, rotate the catheter half a turn and try to advance, and if still unable to advance, remove the catheter and notify the primary care provider.
Where can supplies be opened and prepared during catheter insertion to minimize contamination?
On the overbed table, moving the tray onto the bed just before cleansing the patient.
Why is it important to be familiar with facility policy and/or primary practitioner guidelines for the maximum amount of urine to remove from the bladder during catheter insertion?
To ensure the patient's safety and prevent complications, such as bladder trauma or infection.
What is the primary purpose of removing the gel pad from the patient's skin after urine measurement?
To promote patient comfort and remove contaminated gel.
What is the rationale behind reattaching the call bell after the urine measurement procedure?
To promote patient safety.
Why is it essential to perform hand hygiene after removing PPE?
To prevent the spread of microorganisms.
What is the expected outcome of accurately measuring the volume of urine in the bladder?
The patient's urinary elimination is maintained, with a urine output of at least 30 mL/hour, and the patient's bladder is not distended.
What is the importance of removing contaminated gloves after the procedure?
To prevent the spread of microorganisms.
What is the purpose of adjusting the head of the bed to a comfortable position after the procedure?
To promote patient comfort and safety.
Why is it important to print the results of the urine measurement procedure, if required?
To provide accurate documentation of reading.
What is the importance of removing additional PPE, if used, after the procedure?
To reduce the risk of infection transmission and contamination of other items.
Why is it essential to lower the bed height after the procedure?
To promote patient safety.
What is the purpose of using a washcloth or paper towel to remove remaining gel from the patient's skin?
To promote patient comfort and remove contaminated gel.
Learn the essential steps to properly care for and maintain a catheter, including securing it to the patient, maintaining drainage, and preventing infection. This quiz covers the crucial procedures to ensure safe and effective use of catheters. Test your knowledge and skills in this area of patient care.
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