Urinary Catheterization

Question 1

What are the 3 types of external catheters?

Answer 1

• Texas / condom catheters
• Purewick catheters
• U-bag catheters

Question 2

What are some reasons for external catheter use? (4)

Answer 2

• Dementia
• Immobility
• Incontinence
• Overactive bladder

Question 3

Describe the benefits of external catheter use (2)

Answer 3

• Decreased risk for catheter associated UTIs
• Noninvasive

Question 4

Describe condom catheter application (2)

Answer 4

• Measure the size of the penis
• Leave 1 - 2 inches at the top

Question 5

Empty a condom catheter bag when it is ______ full

Answer 5

1/2

Question 6

Replace a condom catheter every ______ hours

Answer 6

24

Question 7

Indwelling catheters are also known as ______

Answer 7

Foley catheters

Question 8

What are some reasons for short-term indwelling catheter use? (3)

Answer 8

• Acute urinary retention
• I&O measurement
• Urologic surgery

Question 9

What are some reasons for long-term indwelling catheter use? (3)

Answer 9

• Urethral obstruction
• Intractable skin breakdown
• Terminal illness

Question 10

Catheter sizes are measured in the ______ scale system

Answer 10

French (Fr)

Question 11

What is the common catheter size for adults?

Answer 11

14 Fr - 16 Fr

Question 12

What is the common catheter size for children?

Answer 12

8 Fr - 10 Fr

Question 13

What is the common catheter size for infants?

Answer 13

5 Fr - 6 Fr

Question 14

What are the 2 lumens on an indwelling catheter?

Answer 14

• Drainage
• Balloon inflation / deflation

Question 15

Urine from an indwelling catheter drains into a ______ drainage system

Answer 15

Closed

Question 16

When are urine drainage bags used?

Answer 16

At home at night

Question 17

When are leg bags used?

Answer 17

At home during day

Question 18

When are urine drainage bags with urometers used?

Answer 18

At home at night

Question 19

Leg bags must be emptied ______

Answer 19

Frequently

Question 20

______ read and document directly from a urine drainage bag

Answer 20

NEVER

Question 21

If the urine drainage bag has a ______, the urine output can be read and documented from the bag

Answer 21

Urometer

Question 22

What 2 parts of the urine drainage bag allow measurement of collection?

Answer 22

• Graduated cylinder
• Hat

Question 23

A urine sample can only be obtained from the urine drainage bag when it is a …

Answer 23

Newly inserted catheter

Question 24

Describe the steps used to obtain a urine sample from tubing (4)

Answer 24

• Clamp tubing
• Clean port
• Use syringe to obtain sample
• Unclamp tubing

Question 25

What type of catheter is used for collection of a sterile urine sample?

Answer 25

Straight catheter

Question 26

What are some reasons for irrigation catheter use? (2)

Answer 26

• Drainage of urine
• Removal of blood from bladder

Question 27

What are the 3 lumens on an irrigation catheter?

Answer 27

• Instillation
• Irrigation / drainage
• Balloon inflation / deflation

Question 28

An irrigation catheter is connected to a ______ solution

Answer 28

Continuous bladder irrigation (CBI)

Question 29

Rate of infusion is based on …

Answer 29

The color of drainage

Question 30

What color drainage is expected when using an irrigation catheter?

Answer 30

Pink / light red

Question 31

What color drainage is unexpected when using an irrigation catheter?

Answer 31

Dark drainage - indicates blood clot in tubing / bladder

Question 32

______ is NOT included in I & O totals

Answer 32

Irrigation saline

Question 33

How are blood clots cleared from catheter tubing?

Answer 33

Manual irrigation

Question 34

Describe the steps used for manual irrigation of blood clots (2)

Answer 34

• Remove open drainage bag from catheter
• Clamp closed drainage bag and use a syringe to flush