SL #10 (catheterization)

Question 1

What is the amount of urine the bladder can hold before the patient has the desire to void?

a. ) 250- 450 mL
b. ) 500- 750 mL
c. ) 750- 1,000 mL
d. ) 1,000- 1,500 mL

Answer 1

a.) 250- 450 mL

Question 2

What are some causes of urinary retention? (Select all that apply)

a. ) Enlarged prostate glands
b. ) Hypertension
c. ) Diabetes type 1
d. ) Lack of privacy
e. ) Recent anesthesia

Answer 2

a. ) Enlarged prostate glands
d. ) Lack of privacy
e. ) Recent anesthesia

Question 3

Which of the following drain urine in the bladder and have an inflated balloon to keep the catheter in place?

a. ) One lumen
b. ) Two lumen
c. ) Three lumen
d. ) Coude tipped catheter

Answer 3

b.) Two lumen

Question 4

What is the catheter size is required for a woman?

a. ) #7-#9
b. ) #8-#10
c. ) #14- #16
d. ) #16- #18

Answer 4

c.) #14- #16

Question 5

What is the catheter size is required for a man?

a. ) #7-#9
b. ) #8-#10
c. ) #14- #16
d. ) #16- #18

Answer 5

d.) #16- #18

Question 6

What is the catheter size is required for children?

a. ) #7-#9
b. ) #8-#10
c. ) #14- #16
d. ) #16- #18

Answer 6

b.) #8-#10

Question 7

What is the purpose of urinary catheterization? (select all that apply)

a. ) Relieve urinary retention
b. ) Obtain unsterile urine specimen - sterile
c. ) Irrigate the bladder
d. ) Relieve residual urine – assess amount
e. ) Instill medication
f. ) Manage incontinence

Answer 7

a. ) Relieve urinary retention
c. ) Irrigate the bladder
e. ) Instill medication
f. ) Manage incontinence

Question 8

What is the position of the female before catheterization?

a. ) Supine with thighs slightly abducted
b. ) Prone with knees slightly flexed
c. ) Supine with knees flexed, feet about 2 feet apart and hips externally rotated
d. ) Supine with knees and hips flexed

Answer 8

c.) Supine with knees flexed, feet about 2 feet apart and hips externally rotated

Question 9

What must nurses do to help prevent UTIs in clients with retention catheters? (Select all that apply)

a. ) Catheterize only when necessary using medical asepsis
b. ) Ensure no obstructions or kinks in tubing
c. ) Keep catheter bag at the client’s waist level
d. ) Observe the flow of urine every hour
e. ) Follow good handwashing techniques

Answer 9

b. ) Ensure no obstructions or kinks in tubing
e. ) Follow good handwashing techniques

Question 10

Hygienic perineal care for the client with a retention catheter includes which of the following?

a. ) Daily cleaning with providone-iodine
b. ) Cleaning the perineum twice a day with soap and water
c. ) No special cleaning
d. ) Clean with soap, water and iodine once a day

Answer 10

c.) No special cleaning

Question 11

Identify the correct order for indwelling catheter insertion.

a. ) Don sterile gloves
b. ) Verify patient
c. ) Cleanse urethral meatus
d. ) Apply fenestrated drape
e. ) Inflate balloon
f. ) Ask the client to bear down while inserting the catheter

Answer 11

1. ) Verify patient
2. ) Don sterile gloves
3. ) Apply fenestrated drape
4. ) Cleanse urethral meatus
5. ) Ask the client to bear down while inserting the catheter
6. ) Inflate balloon

Question 12

Which of these terms means pus in the urine?

a. ) Anuria
b. ) Dysuria
c. ) Pyuria
d. ) Polyuria
e. ) Oliguria

Answer 12

c.) Pyuria

Question 13

Which of these terms means painful urination?

a. ) Anuria
b. ) Dysuria
c. ) Pyuria
d. ) Polyuria
e. ) Oliguria

Answer 13

b.) Dysuria

Question 14

Which of these terms means production of an abnormally small amount of urine?

a. ) Anuria
b. ) Dysuria
c. ) Pyuria
d. ) Polyuria
e. ) Oliguria

Answer 14

e.) Oliguria

Question 15

Which of these terms means excretion of an abnormally large volume of urine?

a. ) Anuria
b. ) Dysuria
c. ) Pyuria
d. ) Polyuria
e. ) Oliguria

Answer 15

d.) Polyuria

Question 16

Which of these terms means no urine output?

a. ) Anuria
b. ) Dysuria
c. ) Pyuria
d. ) Polyuria
e. ) Oliguria

Answer 16

a.) Anuria

Question 17

What allergies must the nurse assess for before beginning catheterization?

Answer 17

iodine, betadine, shellfish, latex, and tape

Question 18

Which of these reflect the characteristics of normal urine? (Select all that apply)

a. ) Dark amber color
b. ) Flat aromatic
c. ) pH 4.5-8
d. ) 60 mL/hour
e. ) Presence of glucose
f. ) Ketone bodies

Answer 18

b. ) Flat aromatic
c. ) pH 4.5-8
d. ) 60 mL/hour (30-60 mL/hr)

Question 19

What should the nurse teach the patient when collecting a 24 hour urine specimen? (Select all that apply)

a. ) To save all urine
b. ) Discard no urine
c. ) Keep urine separate from stool
d. ) Collect each voiding in separate clean containers
e. ) The purpose is to assess for presence of glucose

Answer 19

a. ) To save all urine
c. ) Keep urine separate from stool

Question 20

How should the nurse collect a sterile urine specimen from an indwelling catheter? (Select all that apply)

a. ) Don sterile gloves
b. ) Cleanse rubber tubing with alcohol wipe
c. ) Clamp drainage tubing for 30 minutes
d. ) Insert needle at a 90 degree angle
e. ) Transfer urine to sterile container

Answer 20

b. ) Cleanse rubber tubing with alcohol wipe
c. ) Clamp drainage tubing for 30 minutes
e. ) Transfer urine to sterile container