urinary elimination

Question 1

urethral catheter types:

Answer 1

straight tip, coude tip (enlarged prostate)- has a curved tip, 3-way catheter irrigation

Question 2

intermittent catheter is used to _____ when scanner is not available or to manage ______

Answer 2

PVR; chronic urinary retention

Question 3

condom/external catheters/urine collection devices: purpose

Answer 3

safe and non-invasive way to contain urine

Question 4

condom/external catheters/urine collection devices: pre-application

Answer 4

requires a provider order, check for allergies and sensitivities, assess skin integrity, wash & dry well

Question 5

condom catheters securement- do you use tape or no tape?

Answer 5

no tape

Question 6

condom catheter care:

Answer 6

change daily, clean site, check tubing for patency, check skin for breakdown

Question 7

external catheter securement:

Answer 7

wash and dry well, follow directions to secure, and hang below bladder

Question 8

external catheter care:

Answer 8

empty when 1/2 full, change when device turns white (24-48 hrs), assess tubing for kinks and free flow, assess for skin breakdown

Question 9

female external catheter: pure wick

Answer 9

urinary incontinence, non-invasive, external device, clean procedure, wicks urine away from patient via suction into a designated collection canister (suction below 40)

Question 10

pure wick - replace after:
assess skin every:

Answer 10

8 to 12 hours and assess skin at least every 2 hours for proper placement

Question 11

contraindication for female external catheter:

Answer 11

agitated, combative or uncooperative, frequent loose stools, skin breakdown or irritation, barrier cream-impedes suction, latex allergy

Question 12

CDC guidelines is in a ____ label

Answer 12

orange

Question 13

what catheter requires a specially trained nurse or PCP to insert, and urologist is called in for?

Answer 13

coude catheter

Question 14

paraphimosis:

Answer 14

is when foreskin becomes stuck behind head of penis and circulation begins to be cut off, when foreskin is not replaced

Question 15

paraphimosis is when foreskin becomes trapped behind ____ a tight band of tissue forms around the penis

Answer 15

corona; impair venous flow and lymphatic flow causing edema

Question 16

discontinuation of indwelling catheter:

Answer 16

perform peri care, remove all water from balloon, gently remove catheter

Question 17

post removal for discontinuation of indwelling catheter:

Answer 17

monitor voiding - should void 4-8 hrs, may experience discomfort 1st void, fluids - cranberry juice, monitor s/s of UTI (especially 2-3 days after removal)

Question 18

monitor voiding after removal of catheter:

Answer 18

assess for voiding within 6 hrs but it is less than 200 ml, perform bladder scan - initiate straight cath if PVR is greater than 200 ml, if pt is spontaneously voids within 6 hrs but is incontinent, if hasn’t voided then notify HCP

Question 19

houdini: criteria need for Urinary catheter - if foley catheter should remain and be reassessed in 24 hrs

Answer 19

hematuria, obstruction, urologic, decubitus (assist in healing of open sacral or perineal wounds), I&O, neurogenic bladder dysfunction, immobilization

Question 20

peri care:

Answer 20

perform every shift and PRN with soap and water, use HH & gloves, hold on to the catheter to keep from pulling, retract labia, clean NEVER UP, keep bag off floor and tubing downward

Question 21

urine sample:

Answer 21

clean sampling port for 20 seconds, shake vigorously, collect at least 3 mls in first tube-gray tube and collect 7 mls in second tube - tiger striped (invert 8-10 x)

Question 22

standard urinary catheterization size:

Answer 22

16 french