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NURS 2532 > Lab 5 - Catheters > Flashcards

Lab 5 - Catheters Flashcards

1
Q

what is catheterization

A
  • introducing a narrow tube thru the urethra and into the bladder to allow a continuous flow of urine into a drainage receptacle
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2
Q

in acute care, catheterization is particularly useful for…

A
  • careful monitoring of output in hemodynamically unstable patients
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3
Q

what are 3 risks associated with catheterization

A
  • catheter associated urinary tract infection
  • blockage
  • trauma to the urethra
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4
Q

due to the risks associated with catheterization, what is preferred

A
  • preferred to rely on other measures for specimen collection or management of incontinence
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5
Q

what are 2 types of catheterization

A
  • intermittent

- in-dwelling

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6
Q

describe how intermittent catheterization works

A
  • a single-use straight catheter is introduced for 5-10 min, just long enough to drain the bladder
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7
Q

describe a straight catheter; how does it work

A
  • single lumen with a small opening about 1.3 cm from the tip
  • urine drains from the tip, thru the lumen, and into a receptacle
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8
Q

who performs intermittent catheterization

A
  • the patient

- nurse

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9
Q

is intermittent catheterization sterile or clean in hospital ? why?

A
  • sterile

- to reduce the risk of nosocomial infections

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10
Q

in the community, is intermittent catheterization sterile or clean?

A
  • clean & is reused many times
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11
Q

for catheters that are reused in community settings, how are they cleaned between use?

A
  • washed w soap & water& left to air dry until next use
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12
Q

what is a coude catheter? when is it used?

A
  • type of catheter with a curved tip

- used for male patients with enlaged prostates that partly obstruct the urethra

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13
Q

what type of catheter is used for in-dwelling catheterization?

A
  • foley
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14
Q

describe a foley catheter; when is it used

A
  • retained for longer periods in the bladder

- uses a small balloon that anchora it against the bladder neck

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15
Q

how long do foley catheters stay in place

A
  • until the pt is able to void completely and voluntarily

- or for as long as accurate mesaurements are needed

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16
Q

how many lumens can indwelling catheters have? which is more common?

A
  • 2 (more common)or 3
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17
Q

describe the purpose of 2 lumens for indwelling catheters

A
  • one lumen drains urine

- the other carries sterile water to inflate or deflate the balloon

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18
Q

describe the purpose of 3 lumens for indwelling catheters

A
  • one carries urine
  • one carries sterile water for the balloon
  • the other allows for irrigation
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19
Q

how long can indwelling catheters be used for

A
  • either short-term or long-term
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20
Q

what are 3 different materials that catheters can be made of

A
  • latex
  • silicone
  • Teflon
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21
Q

list indications ofr short-term indwelling catheter (5)

A
  • urine outflow is obstructed
  • surgical repair of the bladder, urethra, and surrounding structures
  • seeking to prevent urethral obstruction from blood clots
  • measuring urine output in ciritcally ill patients
  • continuous or intermittent bladder irrigation is required
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22
Q

list indications for long-term indwelling catheters (3)

A
  • when chronic urinary retention is not manageable by intermittent catheterization
  • when skin rashes, ulcers, or wounds become irritated by contact with urine
  • in those w terminal illness when bed linen changes or toileting is painful
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23
Q

list indications for intermittent catheterization (6)

A
  • seeking to relieve discomfort due to bladder distension, provision of distension
  • when required to obtain a sterile urine specimen
  • when required to assess residual urine after urination
  • when managing urethral stricture
  • when engaging in long-term management of pts with spinal cord injuries, neuromusc degeneration, or incompetent bladders
  • pts who have incomplete bladder emptying due to neurogenic conditions (spinal cord injury for ex)
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24
Q

what is required for urethral catheterization

A
  • physicians order
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25
Q

describe the similarities & differences between inserting an intermittent vs indwelling catheter?

A
  • both require physicians order
  • both use strict aseptic technique
  • most steps are the same except for indwelling you need to inflate the balloon
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26
Q

what is a closed drainage system? what is the purpose?

A
  • after inserting an indwelling catheter, you must maintain a closed urinary drainage system to minimize the risk of infection
  • this is achieved by adding a sterile collection bag to the end of the catheter
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27
Q

how much urine can urinary drainage bags hold?

A

1000 - 1500 mL

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28
Q

what are some important considerations for urinary drainage bag

A
  • they should never be raised above the level of the bladder
  • should hang on the bed frame or wheelchair
  • should not touch the floor
  • do not hook onto the side rails
  • when the patient ambulates ot must be below their waist
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29
Q

why shouldnt the drainage bag be attached to the side rails?

A
  • it can be raised above the bladder accidentaly

- can cause tugging on the catheter

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30
Q

why shouldn’t the drainage bag be above the level of the bladder?

A
  • urine in the bag & tubing becomes a medium for bacteria

- so if urine flows back into the bladder it can cause infection

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31
Q

what should you do if the catheter becomes disconnected from the drainage tubing

A
  • both tips should be cleansed with an alcohol swab before being reconnected to minimize the transfer of microorganisms into the tubing
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32
Q

what do most drainage bags contain to prevent urine from flowing back into the bladder>

A
  • antireflux valve
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33
Q

what is a spigot

A
  • like a plug found at thr base of the bag which is used to empty the bag
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34
Q

when should the spigot be clamped? where should it be stored?

A
  • should always be clamped except during emptying

- when it is off, it should be stored in the protective pouch on the side of the bag

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35
Q

how can we ensure that the drainage system remains unobstructed? (3)

A
  • check for kinks or bends in the tubing
  • avoid positioning the patient on the drainage tubing
  • observe for clots or sediment that may occlude the collection tubing
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36
Q

list 3 nursing priorities for catheter care

A
  • maintain patient comfort
  • prevent infection
  • maintain an unobstructed flow of urine
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37
Q

why do we need to provide perineal hygeine?

A
  • buildup of secretions or encrustation at the catheter insertiong site is a source of irritation & potential infection
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38
Q

when should we provide perineal care (3)

A
  • at least twice daily
  • after a bowel movement
  • as needed
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39
Q

describe how to provide perineal care

A
  • soap & water

- or skin cleansers

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40
Q

what is one thing to be cautious about while providing perineal care? why?

A
  • do not accidentally advance the catheter upward into the bladder during cleansing
  • otherwise could introduce bacteria into the bladder
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41
Q

when should you provide catheter care?

A
  • three times/day

- after defecation or bowel incontinence

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42
Q

all patients with catheters should have a daily fluid intake of ____ if permitted

A
  • 2000 mL to 2500 mL
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43
Q

why should pts with a catheter have high fluid intake?

A
  • will allow a large volume of urine that flushes the bladder & keeps the catheter clear of sediment
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44
Q

what is the most important strategy in preventing the onset of infection

A
  • hand hygeine between patients
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45
Q

list 2 other ways to prevent infection

A
  • maintaining a closed urinary drainage system (breaks in the system can lead to the intro of microorganisms)
  • monitor the patency of the system to prevent pooling of urine
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46
Q

list 5 places at risk of introduction of infectious organisms into the urinary drainage system

A
  • the site of catheter insertion
  • the drainage bag
  • the spigot
  • the tube junction
  • the juction of the tube & bag
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47
Q

what is the purpose of catheter irrigations

A
  • to maintain patency of indwelling catheters
  • blood, pus, or sediment can collect within tubing which can result in bladder distension and buildup of stagnant urine
  • installation of sterile solution ordered by a physician clears the tubing of accumulated material
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48
Q

what might physicians order for pts with bladder infections

A
  • antiseptic or antibiotic bladder irrigations to wash out the bladder & treat local infection
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49
Q

what kind of technique is folllowed for irrigation?

A
  • sterile
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50
Q

what should you do before performing catheter irrigation

A
  • assess the catheter for blockage
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51
Q

what is an indicator of blockage

A
  • if the amt of urine in the drainage bag is less than the pts intake or less than the output of the previous shift
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52
Q

what is milking of tubing

A
  • technique that may be done if urine is not draining freely
  • gently squeezing and then releasing the drainage tube
  • start from the pts body and work towards the drainage bag so the clot will not be forced back into the catheter
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53
Q

what is recommended during intermittent irrigations

A
  • maintenance of a closed system
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54
Q

a single intermittent irrigation is safer and less likely to introduce infections into the urinary tract than…

A
  • repeated irrigations
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55
Q

what are 2 methods for catheter irrigation

A
  1. closed bladder irrigation system

2. opening of the closed drainage system to instill irrigations

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56
Q

describe closed bladder irrigation; what is it used for

A
  • provides frequent intermittent irrigation or continuous irrigation without disruption of the sterile catheter system using a 3-way catheter
  • used for partial blocks or bladder instillations
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57
Q

what is closed bladder irrigation often used for

A
  • pts who have had genitourinary surgery & are at risk of blood clots & mucous fragaments occluding the catheter
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58
Q

what is a con to opening the closed drainage system for irrigation?

A
  • greater risk of infection
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59
Q

why might we need to open the closed drainage system for irrigation>

A
  • if the catheter becomes blocked & it is undesriable to change the catheter
    ex. after recent bladder or prostate surgery
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60
Q

when removing an indwelling catheter you.. (2)

A
  • promote normal function of the bladder

- prevent trauma to the urethra

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61
Q

what is required to remove an indwelling catheter

A
  • clean, disposable towel
  • discard receptacle
  • sterile syringe that is the same size of volume of the solution inside the balloon
  • disposable gloves
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62
Q

what do some insitutions recommend doing while removing an indwelling catheter

A
  • collect a sterile urine specimen

- send the catheter tip for culture & sensitivity

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63
Q

what position should the pt be in while removing an indwelling catheter

A
  • the same position as during insertion
64
Q

describe the steps to remove an indwelling catheter

A
  • assist them in position
  • remove tap that hold the catheter in place
  • place towel in between the pt’s thighs
  • insert the syringe & withdraw all the solution out of the balloon
  • pull the catheter out smoothly & slowly
65
Q

what would happen if the catheter was removed while the balloon is still partially inflated?

A
  • trauma to the urethral canal as it is removed
66
Q

what is normal for the pt to experience after removing of a catheter

A
  • dysuria

- urinary frequency & retention until it gains full tone

67
Q

how and for how long should you document & assess the pt’s urinary function after removal of a catheter?

A
  • note the first void after removal

- document time & amt of voiding for next 24 hrs

68
Q

what happens if the pt has not voided after 8 hrs past removal?

A
  • may need to reinsert the catheter
69
Q

what determines catheter size? what is preferred?

A
  • the size of the patient’s urethral canal

- prefer the smallest effective size to prevent trauma

70
Q

what does a larger gauge number mean ?

A
  • larger gauge = larger the catheter siz
71
Q

what size of catheter is used fro children? adults?

A
  • children = 8-10
  • adult female = 10-12
  • adult male = 12-16
72
Q

what determines the catheter material selection

A
  • the expected length of catheterization
73
Q

what material of catheter is used for intermittent? why?

A
  • plastic

- bc of their flexibility

74
Q

what material of catheters can be used for up to 3 weeks

A
  • latex and rubber
75
Q

what material of catheter is best suited for long term? why?

A
  • pure silicone
  • Teflon

bc they cause less encrustation at the urethral meatus

76
Q

describe a pro to silicone catheters

A
  • have larger interior lumens than those of catheters of the same size = more efficient urine drainage
77
Q

describe 3 benefits to hydrophillic-coated catheters

A
  • more comfortable
  • less likely to inflame the urethral tisssue
  • encrustation may develop more slowly
78
Q

for patient who develop encrustations and blockages frequently, what type of catheter may be preferred

A
  • an inexpensive catheter that is changed every 7-10 days
79
Q

for short term use, what type of catheter is effective?

A
  • silver-hydrogel catheters & catheters with anti-infective surfaces –> effective in delaying the onset of bacteriuria
80
Q

what is an important thing to consider when selecting an indwelling catheter?

A
  • balloon size
81
Q

what sizes do balloons range from?

A
  • 3 mL (pediatric) to 30 mL (postop volumes)
82
Q

in adults, what size of baloon allows for optimal drainage?

A

5 mL

83
Q

what is used to inflate the balloon? why?>

A
  • only sterile water

- saline may crystalize = incomplete deflation of the baloon at time of removal

84
Q

list 6 things that may cause urine leakage around the catheter

A
  • bladder spasms secondary to constipation or fecal impaction
  • large catheter baloon
  • large catheter
  • UTI
  • kinking of the catheter
  • trauma at the bladder neck due to traction on the baloon
85
Q

what may be used to prevent urine leakage

A
  • change in lumen size
  • use of anticholinergic meds
  • referall to urologist
86
Q

list 9 ways to prevent infection in catheterized pts

A
  • hand hygeine
  • do not allow the spigot to touch a contaminated surface
  • use only sterile technique to collect specimens
  • if drainage tube becomes disconnected, wipe both ends with antimicrobial solution before reconnecting
  • encourage fluid intake if allowed
  • remove the catheter as soon as allowed
  • keep the bag below bladder level
  • prevent pooling of urine in the tubing
  • prevent kinking of the tubing
  • perform routine perineal hygeine
87
Q

how often should the drainage bag be emptied

A
  • at least every 8 hr

- more frequently if large outputs are notes

88
Q

describe what things you should do prior to inserting a catheter (10)

A
  • review physicians order, nurses notes
  • close curtain or door
  • assess status of pt
  • assess pt knowledge of procedure
  • explain procedure
  • hand hygeine
  • raise bed to approp height
  • face pt & stand on approp side of bed
  • clear bedside table & arrange equipment
  • raise side rail on opp side & lower on working side
89
Q

what type of things you should you assess about your pt before inserting a catheter (7)

A
  • ask when they last voided or check I&O
  • any mobility or physical limits (affects positioning)
  • gender & age (affects position & size of catheter)
  • distended bladder
  • perform hand hygeine & put on gloves –> inspect perineum for odour. erythema, drainage
  • note any pathological condition that may impair passage such as enlarged prostate
  • allergies
90
Q

what side of the bed should you stand on if left handed? right?

A
  • left = right

- right = left

91
Q

describe the steps to insert a catheter

A
  • place waterproof pad under pt
  • position pt
  • drape pt to only expose genitals & cover legs
  • wear disposble gloves & wash perineal area w soap & water, dry, remove gloves, hand hygeine
  • position lamp or have assistant hold flashlight
  • open package containing drainage system and set up
  • open catheter kit
92
Q

whaty position should a female be in for catheter insertion?

A
  • dorsal recumbent: on back with knees flexed

- or side lying (sims) position with upper leg flexed if unable to do dorsal recumbent

93
Q

what position should a male be in for catheter placement

A
  • supine with thighs slightly abducted
94
Q

describe what is to be done after opening catheter kit

A
  • open up, starting with the fold away from you
  • apply sterile gloves
  • organize supplies: pour aspectic solution in container, open lube, open catheter
  • apply lube to catheter
  • apply sterile drape
  • place sterile tray & contents on sterile drape
  • clean urethral meatus
  • pick up catheter with dom hand
  • use nondom hand to hold penis or retract labia
  • insert catheter
95
Q

how much lube do you apply to the catheter

A
  • 2.5-5 cm for women

- 12.5 - 17.7 cm for men

96
Q

describe how to apply the sterile drape to a woman

A
  • place drape on bed between thighs

- place fenestrated sterile drape over perineum, exposing labia

97
Q

describe how to apply the sterile drape to a male

A
  • apply drape over thighs just below penis

- drape fenestrated drape over penis with fenestrated slit resting over penis

98
Q

describe how to clean the urethral meatus for a female

A
  • use nondom hand to retract labia
  • wipe from clitoris to anus
  • first do far labial fold, near labial fold, and then directly over the center of the urethral meatus
  • use a new gauze for each wipe
99
Q

describe how to clean the urethral meatus for a male

A
  • if not circumsized, retract foreskin with nondom hand
  • grasp penis at shaft, retract urethral meatus between thumb & forefinger
  • clean in a circular motion from urtheral meatus down to base of glands
  • repeat 3 times, with a new cotton ball for each time
100
Q

describe how to insert a catheter into a female

A
  • ask pt to bear down as if voiding
  • slowly insert thru urethral meatus
  • advance catheter a total of 5-7.5 cm or until urine flows out
  • when urine appears, advance another 2.5-5 cm
  • release labia and hold catheter with nondom hand
  • slowly inflate balloon & pull back gently
101
Q

describe how to insert a catheter into a male

A
  • lift penis to position perpendicular to pt’s body
  • ask pt to bear down as if voiding
  • advance catheter 17-22.5 cm or until urine flows
  • when urine appears, advance another 2.5-5 cm
  • lower penis & hold catheter with nondom hand
  • inflate balloon & pull back gently
  • reposition foreskin
102
Q

describe the steps of catheter insertion post-insertion

A
  • collect urine specimen as needed by holding end of catheter over cup
  • allow bladder to empty fully unless contraindicated
  • attach end of catheter to drainage bag
  • anchor catheter
  • assist pt to comfortable position
  • remove gloves, clean up
  • hand hygeine
  • palpate bladder
  • observe character & amt of urine
  • ensure there is not leaking or kinks
103
Q

why do we inflate a balloon for indwelling catheters?

A
  • anchors the catheter in place above the bladder outlet to prevent removal
104
Q

describe how to anchor a catheter for a female

A
  • secure catheter tubing to innner thigh or abdomen with nonallergenic tape
  • allow for slack so movement of the thigh does not create tension on catheter
105
Q

describe how to anchor a catheter for a male

A
  • same but tape to top of thigh vs inner
106
Q

define micturition

A
  • voiding
107
Q

what influences the act of micturition

A
  • complex interactions between the bladder, spinal cord, brain
  • involves both autonomic (involuntary) and somatic (voluntary nerves)
108
Q

list common symptoms associated with urinary disturbances (6)

A
  • urgnecy
  • frequency
  • dysuria
  • polyuria
  • oliguria
  • difficulty in starting the urinary stream
109
Q

why do we want pts to have increased fluid intake

A

= increased urine formation = reduced risk of UTI

110
Q

list 2 methods to promote the micturition relfex in pts

A
  1. assisting them in sensing the urge

2. urethral sphincter relaxation

111
Q

when collected properly, a clean-voided urine specimen…

A
  • does not contain bacteria from the urethral meatus
112
Q

what is a pro and con to indwelling catheterization

A
  • pro= stays in for extended period

- con = potential for biofilm formation = greater risk of infection than intermittent

113
Q

describe the purpose of closed catheter irrigation

A
  • maintain catheter patency

- prevent blood clots (espeically after urological surgery)

114
Q

define polyuria

A
  • increased amt of urine production
115
Q

define oliguria

A
  • low urine production
116
Q

list 8 types of incontinence

A
  • transient
  • stress
  • urge
  • functional
  • mixed
  • overflow
  • reflex
  • total
117
Q

define transient incontinence

A
  • urine loss resulting from causes outside of or affecting the urinary system
  • resolves when underlying cause is treated
    ex. UTI, dementia, acute confusion
118
Q

define urge incontinence

A
  • urine loss associated with a sudden need to void that cannot be postponed
119
Q

define stress incontinence

A
  • urine loss resulting from increased intra-abdominal pressure
    ex. coughing, sneezing, laughing
  • often small volume
120
Q

define mixed incontinence

A
  • features of both stress & urge
121
Q

define functional incontinence

A

caused by:

  • alterations in cognitive or physical function
  • or enviro factors
  • has bladder control but cannot reach the toilet
122
Q

define overflow incontinence

A
  • small or lrg amt of urine loss associated with overdistension of bladder
  • may feel like the bladder is never empty
123
Q

define reflex incontinence

A
  • involuntary loss that occurs at somewhat predictable intervals
  • bladder contracts spontaneously
  • may be due to spinal cord dysfunction
124
Q

define total incontinence

A
  • continuous and unpredictable loss of urine due to damage of the nerves that control the bladder
125
Q

define suprapubic catheter

A
  • catheter inserted thru a small hold in your stomach & drains urine from the bladder
126
Q

define urinary retention

A
  • a condition in which you cannot fully empty all the urine from your bladder
127
Q

define meatus

A
  • natural body opening or canal

ex. urethral meatus

128
Q

define culture & sensitivity (C&S)

A
  • a culture is a test to find germs, bacteria, etc. that caise infection
  • sensitivity checks to see what kind of med (such as an antibiotic) will treat the infection
129
Q

define urinalysis

A
  • test of ur urine
130
Q

define urometer

A
  • type of hydrometer

- measures the specific gravity of ur urine

131
Q

define paraphimosis

A
  • condition that only affects uncircumsized males
  • develops when the foreskin can no linger be pulled over the tip of the penis
  • causes the foreskin to become swollen & stuck, which can slow or stop the flor of blood to the tip of the penis
132
Q

define paraphimosis

A
  • condition that only affects uncircumsized males
  • develops when the foreskin can no linger be pulled over the tip of the penis
  • causes the foreskin to become swollen & stuck, which can slow or stop the flor of blood to the tip of the penis
133
Q

how many principles of surgical asepsis is there

A

7

134
Q

list the 7 principles of asepsois

A
  • sterile object only remains sterile only when touched by another sterile object
  • only sterile objects can be placed on sterile field
  • a sterile object or field out of range of vision or an object held below the waist is contaminated
  • sterile object becomes contaminated by prolonged exposure to air
  • if a sterile surface comes in contact with a wet & contamined surface, the sterile object becomes contaimed thru capillary action
  • fluid flows in the direction of gravity
  • edges of a sterile field are considered contaminated
135
Q

why is the principle “sterile objects only remain sterile when touched by another sterile object” important?

A
  • guides the placement of sterile objects and how you handle them
136
Q

why does a sterile object or field that it out of range of vision or held below the waist become contaminated?

A
  • if left unattended, contamination can accidentally occur by falling hair, pt touching it, etc.
  • object below the waist = cannot be viewed at all times
137
Q

explain “ a sterile object or field can become contaminated by prolonged exposure to air”; what indications does this have

A
  • microogranisms that travel by droplet thru the air can contaminate
  • microorganisms travelling in air can land on sterile objects

= avoid activities that may create air currents, limit the number of people walking the area, keep movement or rearranging of sterile items to a minimum

138
Q

what indications does “fluid flows in the direction of gravity” have

A
  • hold hands above elbows
139
Q

what size of border around a sterile field is considered nonsterile

A

2.5 cm

140
Q

which hand should you glove first

A
  • dominant
141
Q

when inserting an urinary catheter into a female, you do not get urine back after correctly inserting the foley quite far. what do you think may have happened? how should you preceed?

A
  • the Foley most likely entered the vagina inadvertently bc it is very close to the urethra
  • leave the catheter inside the vagina, and insert a new one into the urethra bc now it will be clear which one is correct
142
Q

due to the likelikhood of inadvertently inserting a catheter into a female’s vagina occurring, what might be a good idea to prepare prior to inserting a catheter on a female pt

A

come with 2 prepared catheters

143
Q

in general, when inserting a catheter on a male or femalr, should you ever inflate the balloon without seeing urine return

A

no

- if you inflate a balloon that is not in the bladder can cause trauma to the urinary tract

144
Q

a 12 Fr urinary catheter is ___ compared to a 16

A

smaller

145
Q

a __ Fr is the most common size for the average sized pt

A

10-16 for adults (10-12 F, 12-16 M)

- recommendation is use the smallest diameter to prevent trauma

146
Q

T or F: an indwelling catheter is changed every 30 days; why or why not

A

F
- routine catheter placement every 30 days without signs of infection, tube break down, dislodgement is no longer indicated

147
Q

what might yiu suspect if ur pt has a catheter acquired infection/UTI? what would you want to do to confirm this suspicion

A

symptoms such as:

  • burning sensation or pain upon voiding
  • NV
  • fever
  • chills & malaise
  • flank pain
  • confusion/delirium

urine:

  • odour
  • cloudy
  • hematuira
  • get C&S and possibly replace the catheter
148
Q

if you suspect your pt is retaining urine, how much (what vol) would generally acquire intervention

A
  • post void residual volume greater than 100 mL or random readings of 400-600 mL
  • plus signs of retention
149
Q

why is the baloon of an indwelling catheter filled with sterile water over NS

A
  • NS can crystalize over time which results in non-complete deflation of the balloon upon removal
150
Q

when inserting a male catheter, resistance is met. what should you do next? what do you think may have caused this resistance?

A
  • resistance is likely due to passing the prostate
  • do not force it thru –> hold it still where resistance was met for few sec to see if relaxation has occurred before attempting to advance again
  • if resistance does not subside then may need coude tip catheter
  • stop current insertion & notify physician
151
Q

nurses were historically told to pre-inflate the balloon of the catheter before insertintg it. this was known as “checking” the balloon for function. why is this practice no longer recommended

A
  • many manufacturing companies now pre-test their balloons prior to steriorilzation so it is not needed
  • also causes increased risk for trauma to the urethra due to change in shape & size of balloon
  • checking the balloon prior to insertion does not guarantee that malfunction wont occur once inserted
152
Q

see skill 33-5 on open gloving

A

…

153
Q

see skill 33-2 on preparing a sterile field

A

…

154
Q

see skill 43-3 on indwelling catheter care

A

…

155
Q

see box 43-8 on preventing infection in catheterized pts
- i found that this list was talked abt throughout the whole deck & very common sense so I didn’t find it necessary to repeat it all on this huge list

A

…

NURS 2532 (5 decks)

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