CBL Quiz Week 3 Flashcards
IDC
Post-op pt has not passed urine for 5 hours after returning to surgical unit. Initially the nurse should
Conduct a bladder scan to determine volume in bladder
82y/o M requires IDC insertion for retention post-operatively. He is alert and oriented but has difficulty seeing and hearing. His wife is at his bedside and answers most questions directed to the patient. To accomplish preoperative teaching with the patient, the nurse:
should provide additional time for pt to understand pre-op instructions and carry out procedures
After inserting the indwelling catheter, the nurse is inflating the balloon when the patient expresses discomfort. The nurse must:
Aspirate fluid from balloon and advance catheter further into bladder
The most significant risk factor for developing a catheter associated UTI (CAUTI) is:
prolonged use of urinary catheter
Normally the kidneys produce urine at a rate of approximately
60ml/hour
When performing a bladder scan, what setting should you select if your patient is a female who has had a hysterectomy?
Male
What is an urgent reason for catheterising a patient?
acute urinary retention
Urine is produced by the kidneys and then transported to the urinary bladder via the:
ureter
You’re preparing for urinary catheterization of a patient with suspected pelvic fractures and you observe bleeding at the urethral meatus. What is your first priority?
Delay catheterisation and alert the Doctor
The nurse notes that urine does not flow after a female patient is catheterized. The nurse believes that the catheter has been placed into the vagina. Which action should the nurse take?
Leave the catheter and insert another
To reduce the incidence of urinary tract infections in a catheterised patient, the nurse
perform perineal cleansing with mild soap and water BD and as needed
Under what circumstances would the doctor consider prescribing antibiotics prior to catheterisation?
if pt has artificial heart valve
A patient with an indwelling catheter reports a need to urinate. Which of the following interventions should the nurse perform?
check catheter is patent and draining
The postoperative medical orders include inserting an indwelling urinary catheter for a female patient. After positioning and prepping the patient, and washing hands, in what order should the nurse complete this procedure? Place in chronological order.
1: using non-dominant hand, separate and clean labia using one swipe per cotton ball
2: remove and dispose of sterile gloves
3: apply sterile gloves
4: inflate catheter balloon
5: pour cleansing solution over cotton balls
6: using sterile dominant hand, insert catheter 1-2inches past where urine is draining in the urethra
5, 3, 1, 6, 4, 2
During assessment of a patient with a disorder of the urinary system, the nurse identifies a potentially nephrotoxic agent when the patient reports the use of:
NSAIDS
Resistance is encountered during urinary catheterization of a male patient. What initial action will the nurse take:
ask the pt to take slow, deep breaths
