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What is the primary purpose of urinary catheterization?
What is the primary purpose of urinary catheterization?
Which type of catheter is used for short-term urine collection and removed immediately after obtaining urine?
Which type of catheter is used for short-term urine collection and removed immediately after obtaining urine?
What is a contraindication for urinary catheterization?
What is a contraindication for urinary catheterization?
Which type of catheter remains in the bladder for an extended period?
Which type of catheter remains in the bladder for an extended period?
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Which condition is NOT an indication for urinary catheterization?
Which condition is NOT an indication for urinary catheterization?
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What should be done as part of general care for a urinary catheter?
What should be done as part of general care for a urinary catheter?
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Which type of catheter is designed to prevent urinary tract infections while being less invasive?
Which type of catheter is designed to prevent urinary tract infections while being less invasive?
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What equipment is essential for performing urinary catheterization?
What equipment is essential for performing urinary catheterization?
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What is one of the indications for using a straightforward catheter?
What is one of the indications for using a straightforward catheter?
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Which of the following is a contraindication for urinary catheterization?
Which of the following is a contraindication for urinary catheterization?
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What should you do to maintain care of a urinary catheter?
What should you do to maintain care of a urinary catheter?
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Which complication can occur after 48 hours of catheterization?
Which complication can occur after 48 hours of catheterization?
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In which situation might a Foley catheter be indicated?
In which situation might a Foley catheter be indicated?
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What is an important practice while using a catheter to avoid issues?
What is an important practice while using a catheter to avoid issues?
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What type of catheter is designed primarily for measuring urinary output accurately in critically ill patients?
What type of catheter is designed primarily for measuring urinary output accurately in critically ill patients?
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What is NOT a recommended action when showering with a catheter in place?
What is NOT a recommended action when showering with a catheter in place?
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What is the first step in preparing for urinary catheterization?
What is the first step in preparing for urinary catheterization?
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Which position is recommended for a female patient during urinary catheter insertion?
Which position is recommended for a female patient during urinary catheter insertion?
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How far should the catheter be inserted for a male patient during catheterization?
How far should the catheter be inserted for a male patient during catheterization?
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What type of cleaning solution is appropriate for preparing the urethral meatus before catheterization?
What type of cleaning solution is appropriate for preparing the urethral meatus before catheterization?
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Which of the following is NOT a type of catheter securing device?
Which of the following is NOT a type of catheter securing device?
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What action should nursing assistive personnel (NAP) take regarding urine output from a catheter?
What action should nursing assistive personnel (NAP) take regarding urine output from a catheter?
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During catheterization, how should the urethral meatus be cleansed for a female patient?
During catheterization, how should the urethral meatus be cleansed for a female patient?
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What additional equipment may be required if a drug preparation kit for catheterization is incomplete?
What additional equipment may be required if a drug preparation kit for catheterization is incomplete?
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What should be done if sterility is broken during the catheterization process?
What should be done if sterility is broken during the catheterization process?
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What action should be taken if a patient complains of bladder discomfort but the catheter is patent?
What action should be taken if a patient complains of bladder discomfort but the catheter is patent?
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What indicate a urinary tract infection (UTI) after catheter removal?
What indicate a urinary tract infection (UTI) after catheter removal?
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What should be monitored after catheterization for signs of irritation?
What should be monitored after catheterization for signs of irritation?
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What is a primary indication for performing bladder irrigation?
What is a primary indication for performing bladder irrigation?
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What should be done if the patient is unable to void after catheter removal?
What should be done if the patient is unable to void after catheter removal?
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When should a healthcare provider be notified regarding catheter output?
When should a healthcare provider be notified regarding catheter output?
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What should be checked if urethral or perineal irritation is present?
What should be checked if urethral or perineal irritation is present?
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What is the first step in closed continuous irrigation of a catheter?
What is the first step in closed continuous irrigation of a catheter?
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During closed intermittent irrigation, what should you do after cleaning the catheter port with an antiseptic swab?
During closed intermittent irrigation, what should you do after cleaning the catheter port with an antiseptic swab?
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What indicates that the irrigation rate should be increased during bladder irrigation?
What indicates that the irrigation rate should be increased during bladder irrigation?
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What is a crucial step to take after the procedure to ensure patient safety?
What is a crucial step to take after the procedure to ensure patient safety?
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In closed continuous irrigation, what should the amount of fluid draining from the bladder do?
In closed continuous irrigation, what should the amount of fluid draining from the bladder do?
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What position should the patient be helped to after the irrigation procedure?
What position should the patient be helped to after the irrigation procedure?
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What should be done with the catheter drainage bag as part of patient care?
What should be done with the catheter drainage bag as part of patient care?
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What technique should be used when connecting the irrigation tubing to the catheter?
What technique should be used when connecting the irrigation tubing to the catheter?
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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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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.
