Urinary Elimination Video

Question 1

When would a patient need an in dwelling catheter

Answer 1

-acute urinary retention (unable to empty bladder)
-critically ill patient that requires accurate ins and outs
-patients undergoing surgery (can’t stop the surgery to let them void)
-patients requiring prolonged bed rest/end of life measure

Question 2

CAUTI prevention practices

Answer 2

-asepsis
-limiting use of indwelling catheters and removing ASAP (longer in higher risk)
-smallest catheter possible (larger catheter inc risk of trauma)
-closed drainage system
-cleansing urethral meatus daily
-maintaining free flow of urine (blockage/gravity encourages backflow)
-avoiding urethral trauma (gives other portals for entry)

Question 3

Patient entered care within catheterization

Answer 3

-understand their values and preferences
-try to minimize the invasive nature of catheterization (extremely personal procedure)
-gender specific care, privacy, people they want there

Question 4

Styles of catheters

Answer 4

-single lumen (intermittent, no ballon)
-double lumen (indwelling catheter, contains balloon)
-triple lumen (continous, or instilling medications)

Question 5

Sizing of catheter

Answer 5

Based on French scale -> internal diameter
-most common 14 to 16
-also different ballon sizes (5mm ballon to 10mm)

Question 6

Changing of catheter is based on

Answer 6

Individual needs of the client
-leakage or blockage
-not routine anymore

Question 7

Nurses cannot delegate

Answer 7

The task of inserting a straight or indwelling urinary catheter

Question 8

Ensure catheter balloon is fully __ before removing catheter

Answer 8

Deflated
-make sure you know how much was originally put into the ballon so that it is completely deflated

Question 9

What is the procedure for monitoring the patient after removal of the catheter?

Answer 9

Record time and amount, incontinence for 24-48 hours
-what comes in must come out
-watch for symptoms of UTI

Question 10

Bladder scanner

Answer 10

Tells us how much urine is still in the bladder
-dont need in and outs, can see right then and there

Question 11

PVR or post void residual

Answer 11

Measures within 10 min of voiding
-less than 10 ml is normal

Question 12

The nurse fist must assess the patients

Answer 12

Status and verify order

Question 13

The task of performing routine catheter care can be delegated to

Answer 13

NAP

Question 14

The task of removing an in dwelling catheter can be delegated to

Answer 14

NAP

Question 15

Recording and reporting

Answer 15

Record: time, appearance of urine, amount removed from balloon, condition of meatus of catheter, teaching, and any new difficulties

Question 16

Suprapubic caatheter care

Answer 16

Surgically inserted (not done by nurses)
-sutured, adhesive or retained w fluid filled balloon

Used for blockage, or long term use

Question 17

NAP

Answer 17

Nursing assistant personal

Question 18

What can an NAP do with a supra pubic

Answer 18

Report changes, document urine outs and ins, clean, take care of