Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

Module 2 (Skills) > Urinary Elimination > Flashcards

Urinary Elimination Flashcards

1
Q

Urinary Catheterization definition

A

The placement of a tube through the urethra into the bladder to drain urine.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Indwelling Catheters are used for

A

may be short term (2 weeks or less) or long term (more than 1 month)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Intermittent Catheterization

A

used to measure PVR when a scanner is not available or to manage chronic urinary retention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the ultimate goal of Urinary Catherization

A

reduce CAUTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

PVR

A

post-void residual

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

In the female, the urethra is

A

smaller and hard to find

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

CDC Guidelines: Appropriate Indications for Indwelling urethral catheter

A
  • acute retention of bladder outlet obstruction
  • accurate I&O
  • assist in healing with perineal wound
  • prior to surgery (large diuretics)
  • prolonged immobilization
  • comfort in the end of life
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the different types of catheters?

A

Straight
Coude tip (enlarged prostate
3 way catheter irrigation (continuous irrigation and med admin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What allergies do you ask before performing a urinary catheter?

A

benedine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Condom/External Catheters/Urine Collection devices
purpose

A

Safe and non-invasive way to contain urine incontience

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Condom/External Catheters/Urine Collection devices
Pre-Application

A
  • Requires a provider order
  • Check for allergies and sensitivities
  • Assess skin integrity
  • Wash and dry well- non-emollient soap
  • Retract foreskin (if applicable) and Replace
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Condom Catheter Secured by ____ tape

A

no

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Condom Catheter Care

A

Change daily
clean site
check the tubing for patency
Check the skin for breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Male External Catheter Securement

A

Wash and dry well- non-emollient soap
Follow directions to secure
Hang below bladder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Male External Catheter Care

A

Empty when ½ full
Change when the device turns white (24-48 hours)
Assess tubing for kinks and free flow
Assess skin breakdown

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

For both the condom catheter and the external catheter, allow for ______ away from penis to not allow tip to sit bathed in urine

A

1/2”

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

For females what catheter is the safest way to contain urinary incontinence

A

Purewick
- sucks urine away from pt to a designated cannister

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Female External Catheter
Used for?
Invasive or Non-invasive ?
Procedure Type?
Via?
When do you replace?

A

Urinary incontinence
non-invasive, external device
Clean procedure
Wicks urine away from the patient via suction into a designated collection canister (suction below 40)
replace 8-12 hours
assess skin at least every two hours for proper placement
decrease CAUTI

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Contraindication for female external catheter

A

Agitated, Combative or Uncooperative
Frequent, lose stools
Skin breakdown or irritation
Barrier Cream- impedes suction
Latex allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Indwelling and intermittent catheter placement
Pre-procedure

A

REQUIRES ORDER
BUDDY IN ROOM
ALLERGIES
SKIN INTEGRITY
WASH AND DRY WELL (NON EMOLLIENT SOAP BATH WIPES
Male – retract and replace
Clean procedure and patient positioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What should you do if mistakenly put catheter in vagina?

A

leave as landmark and start over with new catheter

21
Q

How many inches do you insert the catheter into the female?

A

2-3 inches after seeing urine

22
Q

The male urethra is how many inches long?

23
Q

With a male, when do you stop threading the catheter into the urethra?

A

all the way to the bifurcation site then inflate the balloon

24
**Male** Catheter Criticals to procedure
Hold Penis at a **90° angle** Proceed slowly Stop if you meet resistance, may be a spasm Wait and proceed unless increased pain **Advance to bifurcation** Clean your patient Hang bag below level of bladder
25
**Female** Catheter Criticals to procedure
Always need help Don’t depend on lithotomy position Very easy to contaminate with patient skin, gown, pubic hair Hold onto catheter before inflation Clean patient Leave enough loop not to pull before securing Hang bag below level of bladder
26
If the urine bag shows no urine in 2 hours what do you do?
Check for kinks Irrigate Increase fluids Bladder fullness
27
If the patient is experiencing pain with balloon inflation, what do you do?
Withdraw fluid back into syringe, advance catheter then inflate balloon
28
Once you see urine in a female catheter,
go 2-3 inches more
29
In a closed syringe irrigation reasons and what do you do?
- if large amount of mucous or hematoma - Use room temperature, sterile solution to prevent cramping and discomfort
30
What cathter do you use for a enlarged prostate?
coude catheter
31
Who can place a coude catheter?
specially trained nurse PCP Urologist
32
The foreskin (if available) needs to be
retracted when cleaning and insertion replace when done DOCUMENT
33
Paraphimosis
foreskin becomes stuck behind the head of the penis and circulation begins to be cut off - foreskin not replaced
34
Treatment of paraphimosis
caught early then pressure to glans and ice pack
35
Paraphimosis occurs by
When the foreskin becomes trapped behind the corona - a tight band of tissue forms around the penis – - impairs venous flow and lymphatic flow causing edema. - As it worsens, blood flow decreases progressing to tissue ischemia and painful swelling of the glans – - may lead to gangrene and auto amputation
36
Discontinuation of Indwelling Catheter
Perform peri care Remove all water from the balloon with a syringe (double-check) Gently remove catheter
37
After D/C, how long should you monitor voiding
Should void 4-8 hours Monitor s/s of UTI, especially 2-3 days after removal
38
Is experiencing discomfort on the 1st void after removal okay?
yes
39
If patient spontaneously voids within 6 hours but it is less than 200mL,
perform bladder scan. Initiate straight catheterization if post void residual (PVR) is greater than 200mL
40
If patient spontaneously voids within 6 hours but is incontinent,
perform bladder scan, straight catheterization if PVR is >200mL.
41
If patient has not voided with six (6) hours after straight catheterization,
notify HCP
42
What can a nurse do to influence a patient to urinate if they have not after 4 hours of catheter removal?
stand and move reposition bedside commode
43
HOUDINI Criteria means
If patient **meets one or more** of the criteria below, the **Foley Catheter should remain** and be **reassessed in 24 hours**
44
HOUDINI
- **Hematuria**: gross or continuous bladder irrigation - **Obstruction**: retention urinary - **Urologic**: Surgery or urology placed catheter - **Decubitus**: To assist in healing of open sacral or perineal wounds in incontinent patients (Stage III, IV or moisture related injury secondary to incontinence) - **I&O**: critical for patient management or hemodynamic instability needing hourly I/O - **Neurogenic** bladder dysfunction or chronic indwelling catheter - **Immobilization**: due to physical constraints (i.e., potentially unstable fracture, spinal anesthesia, multiple traumatic injuries), or - **Improved** patient comfort for end of life care)
45
How do you perform Peri and Catheter Care?
Perform **every shift and PRN with soap and water** Use HH and gloves Hold on to the catheter to keep from pulling Retract labia Process: use disposable wash cloths cleanse peri-area clean catheter from meatus down the catheter- NEVER UP Keep bag off floor and tubing downward from patient without kinks or loops
46
When should you perform peri and catheter care?
every shift or prn
47
How do you obtain a urine sample from catheter?
HH and Gloves **Clamp tubing about 3” below sampling** port to accumulate port Remove swab cap Scrub sampling port with alcohol prep **20 seconds and allow to dry** Connect **vacutainer** to port Collect at least **3mLs in First tube- gray**- shake **VIGOROUSLY** Collect at least **7mLs urine in Second tube – tiger** striped. **Invert 8-10 times** Remove Vacutainer and replace with a new swab cap Label in patient’s room- place in lab bags for transport Remove gloves and HH
48
When do you empty a male external catheter?
1/2 full
49
When do you assess the skin of a female patient with an external catheter? And why?
assess skin at least **every two hours for proper placement** **decrease CAUTI**
50
What is the UA lab test tube order, amount needed and mixing technique?
3mLs in First tube- gray- shake VIGOROUSLY 7mLs urine in the Second tube – tiger striped. Invert 8-10 times

Module 2 (Skills) (12 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions