Chapter 11 Urologic Procedures Flashcards
The most common nosocomial infections are:
UTIs
The best way to prevent UTIs during catheterization of the urinary bladder is:
By maintaining strict surgical aseptic technique
How will the technologist know that the catheter has entered the urinary bladder of the patient?
Once the catheter has entered the bladder, urine will flow out of the catheter.
Place the following in the order to be followed if a retention catheter is inserted:
1-put on sterile gloves
2-drape the patient with the fenestrated drape
3-prepare the lubricant
4-cleanse the meatus with aseptic soltution
5-insert catheter
6-inflate balloon on the cuff of the catheter
7-tug gently to seat the balloon against the meatus
What is the most important consideration when removing a retention catheter?
must remember to deflate the cuff of the catheter
When transporting a patient with a retention catheter and closed-system drainage in place, which of the following must be observed?
1) Coil the extra tubing at the level of the patient’s hip
2) Clamp the drainage tube if it must be raised above the hip level
3) Hang the drainage bag alongside the patient below the hip level
The technologist should empty the drainage bag if he or she sees that it is full
False, nurse does it
Mr. Sherman Alonzo has been admitted to the surgery suite for Retrograde Cystography. Mr.Alonzo was paralyzed several years ago in a motocross accident and is recently experiencing some emptying difficulties. Although the contrast medium is being instilled and halfway through the study, he beings to complain of a sudden headache and nausea. He begins to moan from the pain. From responses below, place an “M” in front of the most appropriate response and an “L” in front of the least appropriate response.
M. Stop the procedure and allow surgery staff to take over
L. Tell the patient that you need one more image and to hold still
During Cystography, what is the radiographer’s role?
c. Make sure that the informed consent has been signed and is with the radiographic request
d. Assist the fluoroscopy of the patient
e. Provide aftercare instructions to the patient
Which of the following procedures is performed to visualize the proximal ureters and the kidneys but will not demonstrate function?
Retrograde Pyelogram
List 2 alternative for urinary drainage
1) Suprapubic bladder drainage
2) Condom catheter are two alternatives to urinary bladder catheterization
Why is the patient instructed to increase fluid intake for 24 hours following any study that involves contrast media in the bladder?
Increasing the fluid intake will help to flush out any remaining contrast agent.
