Urinary Catheterization Overview
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Urinary Catheterization Overview

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Questions and Answers

What is the primary purpose of urinary catheterization?

  • To administer medications directly
  • To perform surgery
  • To increase blood circulation
  • To drain urine from the bladder (correct)

    • Which type of catheter is used for short-term urine collection and removed immediately after obtaining urine?

  • External catheter
  • Indwelling catheter
  • Single-lumen catheter (correct)
  • Triple-lumen catheter

    • What is a contraindication for urinary catheterization?

  • Bladder obstruction
  • Urethral stricture (correct)
  • Surgery preparation
  • Monitoring urinary output

    • Which type of catheter remains in the bladder for an extended period?

    <p>Indwelling catheter</p> Signup and view all the answers

    Which condition is NOT an indication for urinary catheterization?

    <p>Urinary incontinence</p> Signup and view all the answers

    What should be done as part of general care for a urinary catheter?

    <p>Maintain a clean and dry area around the catheter</p> Signup and view all the answers

    Which type of catheter is designed to prevent urinary tract infections while being less invasive?

    <p>External catheter</p> Signup and view all the answers

    What equipment is essential for performing urinary catheterization?

    <p>Surgical gloves and a urinary catheter</p> Signup and view all the answers

    What is one of the indications for using a straightforward catheter?

    <p>Determine the amount of residual urine in the bladder after voiding</p> Signup and view all the answers

    Which of the following is a contraindication for urinary catheterization?

    <p>Urethral trauma</p> Signup and view all the answers

    What should you do to maintain care of a urinary catheter?

    <p>Wash around the catheter with soap and water twice per day</p> Signup and view all the answers

    Which complication can occur after 48 hours of catheterization?

    <p>Renal inflammation</p> Signup and view all the answers

    In which situation might a Foley catheter be indicated?

    <p>To keep a comatose patient dry</p> Signup and view all the answers

    What is an important practice while using a catheter to avoid issues?

    <p>Consume a high-fiber diet to avoid constipation</p> Signup and view all the answers

    What type of catheter is designed primarily for measuring urinary output accurately in critically ill patients?

    <p>Foley catheter</p> Signup and view all the answers

    What is NOT a recommended action when showering with a catheter in place?

    <p>Stay in the shower for long periods</p> Signup and view all the answers

    What is the first step in preparing for urinary catheterization?

    <p>Gather all necessary equipment</p> Signup and view all the answers

    Which position is recommended for a female patient during urinary catheter insertion?

    <p>Dorsal recumbent position</p> Signup and view all the answers

    How far should the catheter be inserted for a male patient during catheterization?

    <p>7-9 inches</p> Signup and view all the answers

    What type of cleaning solution is appropriate for preparing the urethral meatus before catheterization?

    <p>Chlorhexidine or povidone iodine</p> Signup and view all the answers

    Which of the following is NOT a type of catheter securing device?

    <p>Belt clip</p> Signup and view all the answers

    What action should nursing assistive personnel (NAP) take regarding urine output from a catheter?

    <p>Report characteristics of urine output</p> Signup and view all the answers

    During catheterization, how should the urethral meatus be cleansed for a female patient?

    <p>With circular strokes from clitoris to anus</p> Signup and view all the answers

    What additional equipment may be required if a drug preparation kit for catheterization is incomplete?

    <p>Sterile drainage tubing and collection bag</p> Signup and view all the answers

    What should be done if sterility is broken during the catheterization process?

    <p>Replace gloves if contaminated and start over.</p> Signup and view all the answers

    What action should be taken if a patient complains of bladder discomfort but the catheter is patent?

    <p>Check for traction on the catheter and notify the healthcare provider.</p> Signup and view all the answers

    What indicate a urinary tract infection (UTI) after catheter removal?

    <p>Fever and malodorous urine.</p> Signup and view all the answers

    What should be monitored after catheterization for signs of irritation?

    <p>Leaking from around the catheter.</p> Signup and view all the answers

    What is a primary indication for performing bladder irrigation?

    <p>To clear the bladder of mucus and debris.</p> Signup and view all the answers

    What should be done if the patient is unable to void after catheter removal?

    <p>Perform bladder ultrasonography to assess for residual urine.</p> Signup and view all the answers

    When should a healthcare provider be notified regarding catheter output?

    <p>If the patient experiences burning during urination.</p> Signup and view all the answers

    What should be checked if urethral or perineal irritation is present?

    <p>If the catheter is anchoring appropriately.</p> Signup and view all the answers

    What is the first step in closed continuous irrigation of a catheter?

    <p>Hang bag of irrigating solution on IV pole</p> Signup and view all the answers

    During closed intermittent irrigation, what should you do after cleaning the catheter port with an antiseptic swab?

    <p>Inject the solution into the port</p> Signup and view all the answers

    What indicates that the irrigation rate should be increased during bladder irrigation?

    <p>Urine is bright red or contains clots</p> Signup and view all the answers

    What is a crucial step to take after the procedure to ensure patient safety?

    <p>Inspect urine for blood clots and sediment</p> Signup and view all the answers

    In closed continuous irrigation, what should the amount of fluid draining from the bladder do?

    <p>Exceed the amount of fluid infused into the bladder</p> Signup and view all the answers

    What position should the patient be helped to after the irrigation procedure?

    <p>Safe and comfortable position with side rails adjusted</p> Signup and view all the answers

    What should be done with the catheter drainage bag as part of patient care?

    <p>Empty the bag as needed</p> Signup and view all the answers

    What technique should be used when connecting the irrigation tubing to the catheter?

    <p>Using aseptic technique</p> Signup and view all the answers

    Study Notes

    Urinary Catheterization

    • A urinary catheter is a tube inserted into a patient's bladder via the urethra to drain urine or inject fluids.
    • It's a common procedure performed by nurses or healthcare professionals, but self-catheterization is also possible.

    Purpose of Urinary Catheterization

    • Maintain urine output: For patients undergoing surgery or confined to bed.
    • Monitor urinary output: For critically ill patients.
    • Empty a full bladder: For patients unable to completely empty their bladder.
    • Overcome bladder obstruction: For patients with blocked urinary flow.

    Types of Urinary Catheters

    • Single-lumen (Straight): Used intermittently for obtaining a urine sample.
    • Indwelling (Foley): Remains in the bladder for continuous drainage. Has one lumen for urine flow, one for inflating a balloon, and sometimes a third lumen for irrigation.
    • External (Condom): Used for urinary incontinence, typically less likely to cause infections.

    Indications for Urinary Catheterization

    • Straight Catheter: Obtaining sterile urine samples, determining residual urine, preventing wound contamination, managing labor progress.
    • Foley Catheter: Irrigating the bladder, accurately measuring urine output, managing incontinence, compressing a distended bladder, emptying the bladder during surgery.

    Contraindications for Urinary Catheterization

    • Urethral trauma (injury)
    • Urethral tear
    • Scrotal hematoma
    • Pelvic fracture

    General Care of a Urinary Catheter

    • Avoid excessively hot or cold water when showering.
    • Clean around the catheter twice a day with soap and water.
    • Drink plenty of fluids to keep urine flowing.
    • Eat high-fiber foods and drink plenty of water to prevent constipation.
    • Avoid sexual intercourse.

    Complications of Urinary Catheterization

    • Urethral trauma
    • Infection (UTI)
    • Bleeding after 48 hours of catheterization
    • Renal inflammation (pyelonephritis)

    Catheterization Procedure - Equipment

    • Catheter kit containing:
      • Catheter of the correct size and type
      • Drapes (one fenestrated)
      • Sterile gloves
      • Lubricant
      • Antiseptic cleaning solution
      • Specimen container
      • Syringe for balloon inflation
      • Sterile drainage tubing and collection bag
    • Sterile drainage tubing and bag (if not included in the kit)
    • Device to secure catheter (strap)
    • Extra sterile gloves and catheter (optional)
    • Bath blanket
    • Waterproof absorbent pad
    • Clean gloves, basin with warm water, soap, washcloth, and towel for perineal care
    • Additional lighting
    • Measuring container for urine

    Catheterization Procedure - Positions: Male

    • Position the patient supine with legs extended and thighs slightly abducted.

    Catheterization Procedure - Positions: Female

    • Position the patient in dorsal recumbent (on back with knees flexed) or Sims' position (side-lying with the upper leg flexed at knee and hip).

    Catheterization Procedure - Insertion Technique

    • Lubricate the catheter tip:
      • Male: 5-7 inches
      • Female: 1-2 inches
    • Insert the catheter:
      • Male: 7-9 inches
      • Female: 2-3 inches
    • Cleanse the urethral meatus:
      • Male: Using circular strokes
      • Female: From clitoris toward anus (top to bottom)
    • Secure the catheter tubing:
      • Male: Upper thigh or lower abdomen
      • Female: Inner thigh

    Routine Urinary Catheter Care and Removal: Delegation

    • Report: Characteristics of urine output, perineum condition.
    • Check: Balloon size and syringe needed for deflation. Report if the balloon doesn't deflate, if there's bleeding, or excessive burning.
    • Monitor the patient for any urinary issues and report any findings to the provider.

    Unexpected Outcomes and Management during Catheterization

    • Catheter goes into the vagina: Reinsert a sterile catheter into the urethral meatus after removing the catheter from the vagina.
    • Sterility is broken: Replace contaminated gloves and start over.
    • Patient complains of bladder discomfort (bladder spasms): Check for traction on the catheter and monitor urine output.
    • Urethral or perineal irritation: Observe for leakage, secure the catheter appropriately, and consider replacement if needed.
    • Fever, malodorous urine, small frequent voiding, or bleeding/burning after removal: Suspect UTI, monitor vital signs and urine, report findings to the prescriber.
    • Unable to void after removal: Assess for bladder distention, assist with voiding, provide privacy, perform bladder ultrasonography to determine residual urine volume, and notify the prescriber if necessary.

    Urinary Catheter Irrigation

    • Purpose: Clears the bladder and catheter of mucus, debris, stones, or bacteria.
    • Closed Continuous Irrigation: Continuous flow of irrigating solution into the bladder to maintain patency.
    • Closed Intermittent Irrigation: Specific volume of irrigant injected into the bladder at intervals.

    Post-Procedure Care

    • Help the patient to a safe and comfortable position.
    • Inspect urine for blood clots and sediment.
    • Ensure the tubing is not kinked or occluded.
    • Remove gloves, dispose of equipment, and wash hands.
    • Help the client adjust their position.

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    Urinary Catheterization Procedure PDF

    Description

    This quiz covers the essential aspects of urinary catheterization, including types, purposes, and procedures. It is designed for healthcare professionals and students to test their knowledge on this critical skill. Dive into the importance of proper catheter use and the implications for patient care.

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