Chapter 26

Question 1

catheter

Answer 1

tube inserted into body opening to drain / inject fluid

Question 2

catheterization

Answer 2

process of inserting catheter

Question 2

condom catherter

Answer 2

sheath slides over penis; used to drain urine

Question 3

indwelling catheter

Answer 3

retention / foley catheter; catheter inside bladder that constantly drains urine

Question 4

straight catheter

Answer 4

catheter that is inserted to drain bladder at the time and then removed

Question 5

are nursing assistants allowed to insert catheters ?

Answer 5

no; only help w/ maintenance

Question 6

how does an indwelling (foley / retention) catheter stay in place ?

Answer 6

water balloon s inflated once inside the bladder

Question 7

why are catheters used ?

Answer 7

• keep bladder empty
• promote comfort for those unable to use toilet, bedpan, etc.
• protect wounds / injuries
• measure hourly output
• collect sterile urine specimen
• measure residual urine (urine in bladder after voiding)

Question 8

do catheters treat incontinence ?

Answer 8

no; it is a form of providing comfort for incontinent persons, not the solution

Question 9

catheters create a high risk for what ?

Answer 9

UTIs; microbes can enter through the catheter itself or from the surrounding of the catheter
- “catheter - associated urinary tract infection” (CAUTI)

Question 10

how to care for indwelling catheters ?

Answer 10

• no catheter tube kinks
• drainage bag is below bladder, hanging from the bed frame (never from bed rails)
• never touching the floor
• tube straight line / properly coiled secured to bottom linens w/ clamps

Question 11

where should catheters be fastened for females ?

Answer 11

to the inner thigh

Question 12

where should catheters be fastened for males ?

Answer 12

lower abdomen

Question 13

when should drainage bag of catheter be emptied ?

Answer 13

• when it is nearly full
• end of shift
• changing to / from leg bag / standard drainage bag

Question 14

what should be done when emptying a catheter drainage bag ?

Answer 14

• use a graduate container to drain urine into
• do not let drainage bag touch the floor / graduate
• report increase / decrease in amount of urine output

Question 15

what observations for catheter care should you report / observe for ?

Answer 15

• fever / chills
• lower back pain / tenderness
• change in urine (blood, smell, particles, etc.)
• change in mental / functional status
• urine leak around catheter

Question 16

what supplies do you use to secure a catheter to person ?

Answer 16

main 2; there are more
- tube holder; tube clip that sticks adhesively to skin
- leg band; has a clamp on an elastic that is put on thigh

Question 17

before performing catheter care what should you know ?

Answer 17

• when to give care
• water temp for perineal care
• where to secure catheter
• how to secure catheter
• how to position drainage tube
• where to secure tubing / hang bag
• persons concerns / observations to report

Question 18

how to clean / give catheter care ?

Answer 18

• hold catheter at insertion; should not be puller
• clean rinse, dry catheter from insertion down
• clean at least 4in down from insertion

Question 19

two types of urine drainage bags ?

Answer 19

• standard drainage bag
• leg bag

Question 20

standard drainage bag

Answer 20

holds at least 2000mL

Question 21

leg bag

Answer 21

attaches to the thigh / calf; holds less than 1000mL

Question 22

self-adhesive condom catheter

Answer 22

adhesive inside the catheter (condom)

Question 23

non-adhesive condom catheter

Answer 23

catheter (condom) needs adhesive strip / other securing method

Question 24

how should adhesive strips be applied to a condom catheter ?

Answer 24

apply in a spiral starting behind the penis; not fully around penis

Question 25

when should condom catheters be applied to the penis ?

Answer 25

when penis is relaxed

Question 26

how mush space should be left between the tip of the condom catheter to head of the penis ?

Answer 26

1in

Question 27

how to remove / replace a condom catheter ?

Answer 27

• apply a warm cloth for a few minutes to soften adhesive
• remove drainage tube and cap it
• apply new condom w/ new adhesive properly
• roll condom onto rest of penis and apply pressure to stick
• ensure tip of penis isn’t touching condom (1in space left)
• connect drainage tubing to new condom