CPSS Foley Exam 52 Questions with Verified Answers
Bladder Cath:
Hollow tube introduced through _________ through the _________ to the _______ -
... [Show More] CORRECT ANSWER urethral meatus
urethra
bladder
Once catheter is inserted, urine moves through the bladder through catheter primarily by _________ - CORRECT ANSWER gravity flow
Single lumen tube
Inserted to drain bladder and then it is removed
Aka "in and out cath"
NO balloon - CORRECT ANSWER straight or intermittent catheter
Catheter used for urinary retention that may be seen post op, spinal cord injury, BPH - CORRECT ANSWER straight or intermittent catheter
Catheter that contains a second tube throughout its length that is connected to a balloon filled with *sterile water* - CORRECT ANSWER indwelling aka foley catheter
Indwelling catheters have 2 ports:
1) _________ port
2) _________ port - CORRECT ANSWER balloon port
urine drainage port
When do you use an indwelling catether? - CORRECT ANSWER 1) monitor urinary output
2) facilitate urinary drainage (CVA, Alzheimer's spinal cord injury, etc)
3) bypass obstructive processes
Indwelling catheters are designed to dwell in the ________ and are always ________. - CORRECT ANSWER bladder
sterile
Catheter capable of *continuous irrigation*
Balloon is larger size about 30 mL
Has 3 ports - CORRECT ANSWER 3 way foley catheter
3 ports of a 3 way foley catheter:
1) drains urine
2) _________
3) instills _________ - CORRECT ANSWER inflates balloon
instills sterile fluids
When would you use a 3 way foley catheter? - CORRECT ANSWER as a traction device to control bleeding after prostate surgery
*ALERT!*
*Do not attach irrigation tubing to balloon inflation port on a 3 way catheter because this causes balloon ________* - CORRECT ANSWER rupture
3 way catheters allow for continuous bladder irrigation. What should you assess once in place? - CORRECT ANSWER assess for color of drainage in bag
assess bladder for distention
assess for clots
document
2 bladder irrigation techniques:
1) closed-injecting solution or irrigating solution through a 3 way catheter
2) open-irrigating after separating ______ and _____; *increased risk of infection - CORRECT ANSWER catheter and bag
Catheter with bend at distal tip that causes catheter to follow anterior surface of male urethra
Insert with tip facing up - CORRECT ANSWER Coude catheter
*french means elbowed*
Which catheter would help facilitate insertion for a patient with BPH? - CORRECT ANSWER coude catheter
S/P urethral surgery
Suspected or known urethral trauma
Pelvic fracture
Inability to traverse the urethra into the urinary bladder for any reason
are all ___________ for urinary catheterizations - CORRECT ANSWER contraindications
Catheter Selection:
Plastic -used for ______
Latex- used for up to ________
Silicone- used for ________ - CORRECT ANSWER in-out
up to 2 weeks
long term use
What length catheter is used for females? Males? - CORRECT ANSWER 22 cm for females
40 cm for males
Catheters are measured in french scale. 1 french = __________, so 3 french = _________
Sizing is determined by size of urethral canal and the size is printed on the port - CORRECT ANSWER .33 mm
1 mm in diameter
What common catheter sizes are used in the following:
Infants: ___________
Children: _________
Adults: _________
*Note: Men with BPH may need larger cath* - CORRECT ANSWER Infants 5-6 french
children 8-10 french
adults 14-16 french
Balloon size is printed on the catheter port and ranges from _________ for a child to ________ for continuous bladder irrigation - CORRECT ANSWER 3 mL for a child
30 mL for CBI
*always follow manufacturer recommendations*
Are urinary catheters sterile procedures? - CORRECT ANSWER yep!
Most common type of health care associated infection is a __________. If this occurs within a certain period of time during the hospital stay, insurance usually will not cover it. - CORRECT ANSWER UTI
What patient position is used for most female urinary catheterizations? - CORRECT ANSWER dorsal recumbent-on back knees flexed, thigh relaxed
(may also use lithotomy or sims position-lying on side)
Found in the superior fornix of the vulva, anterior to vaginal opening and below clitoris - CORRECT ANSWER Urethral meatus
Your nondominant hand will open the labia and should not let go once placed there as it is no longer ________! - CORRECT ANSWER sterile
Wipe the urethral meatus in what order? - CORRECT ANSWER far
near
middle
In females, advanced the catheter _______ until urine flows then advance it another _______ but never force it - CORRECT ANSWER 5-7.5 cm or 2-3 inches
2.5-5 cm or 1-2 inches
Secure the catheter to the _______ allowing enough slack to prevent tension - CORRECT ANSWER inner thigh
What patient position is used for male urinary catheterization? - CORRECT ANSWER flat supine
The male urethra is longer and tortuous. It is normally curved but may be straightened by ___________ the penis.
Lift the penis to a position perpendicular or _______ to the body and apply gentle ________ traction - CORRECT ANSWER elevating
90 degrees
upward
The narrowest position of the entire male urethra is the __________ - CORRECT ANSWER meatus
Cleanse the urethral meatus using ________ beginning at the _____ and working outward in a spiral motion - CORRECT ANSWER circular strokes
meatus
In males, advance the catheter __________ or until urine flows. *Stop* if it is a straight catheter. If it is an indwelling catheter, *advance to the _________* - CORRECT ANSWER 17-22.5 cm or 7-9 inches
Y-bifurcation
Secure the catheter to the inner thigh and have the penis pointing ______. Be sure to replace the _______ if the patient is uncircumsized. - CORRECT ANSWER downward foreskin
Drainage bag should always __________ to prevent urine from flowing back into bladder. Keep a watch for __________ in the tubing. - CORRECT ANSWER below the bladder
obstruction
When removing a foley cath, what should you do first? - CORRECT ANSWER remove the sterile water from the balloon or it won't come out!
Sterile water should be removed from the balloon by _________ until the plunger stops moving and the original amount instilled has been removed.
If there is any resistance when removing, try to remove more water from the balloon. - CORRECT ANSWER gravity
NEVER _________ the balloon port as the fluid may not drain out fully. - CORRECT ANSWER cut
If contamination occurs before or during catheter insertion procedure, start procedure over with a new catheter. - CORRECT ANSWER ok
Are indwelling catheters recommended for long term use? - CORRECT ANSWER nope
Always use the smallest size catheter possible to minimize trauma and promote drainage. Large catheters > 16 french might cause what? - CORRECT ANSWER 1) distend urethra and permanently damage and urethra and bladder neck
2) cause bladder spasms
3) cause leaking around the catheter
Manufacturers no longer recommend testing _____________ as the balloon doesn't return to previous shape. - CORRECT ANSWER balloon inflation
Complications of urinary catheters are ____________ or ___________; The patient would have the following symptoms:
urgency to void
fever, with or without chills
nausea/vomiting
anorexia
malaise/irritability
abdominal/flank pain
cloudy urine (often with mucus visible) - CORRECT ANSWER UTI or pyelonephritis
Injury to urethra
Development of incontinence
are more ___________ from urinary caths - CORRECT ANSWER complications
*Draining > 500 mL to 1000 mL of urine at one time* is a hazard for the patient causing hypotension and changes in intraabdominal pressure.
Know hospital policy but most only ______ ml at one time. - CORRECT ANSWER 500 mL
Soft, rounded tip & one or two drainage eyelets on tip of side walls
Catheter is hollow and distal end flared to facilitate urinary drainage
Designed for one-time use, hence the term "in-and-out" catheter - CORRECT ANSWER straight or intermittent catheter
What are the indications for a straight cath? - CORRECT ANSWER To obtain a sterile urine sample
To decompress a distended bladder
Relieve neurogenic bladder
To deliver topical antineoplastic medications
Relieve urinary retention
Hospitals and nursing homes use __________ straight cath procedure due to high risk of nosocomial infections.
Home settings may use ___________ - CORRECT ANSWER sterile technique
clean technique (May reuse same catheter)
External catheter
Noninvasive
Pliable condom-like sheath fits over penis to contain urine - CORRECT ANSWER Condom catheter
Used to assist insertion of urinary catheter
*Must set gender designation to obtain proper results*
Can be done quickly and at patient bedside - CORRECT ANSWER handheld bladder scanner [Show Less]