Catheterization

What is the primary purpose of urinary catheterization?

To drain urine from the bladder.

What are the key indications for intermittent catheterization?

Immediate relief of urinary retention, long-term management of incompetent bladder, obtaining sterile urine specimen, assessing residual urine.

What is an indwelling catheter used for?

Promoting urinary elimination, measuring urine output, preventing skin breakdown, facilitating wound management.

Which catheter type is designed for irrigation?

3-way catheter.

What must be done before catheter insertion?

Clean the meatus following local guidelines.

What is a key contraindication for catheter insertion?

Blood at the meatus.

What are potential complications of urinary catheterization?

Allergy to latex, bladder stones, urinary tract infections, urethral injury.

What position should a female patient be in for Foley catheter insertion?

Dorsal recumbent position with knees flexed.

Why is hand hygiene important in catheterization procedures?

To prevent transmission of microorganisms.

What should you do if a urinary catheter is blocked?

Check for and remove kinks; immediately request replacement.

What are signs that a catheter is blocked?

Urine leaking around the catheter.

What types of catheters are commonly used?

Straight tip, Coude, and 3-way catheters.

How often should catheter flushes and bladder washouts be done?

As required, or routinely once or twice a day.

What is a common reason for using a Coude catheter?

Obstructions in the urethra due to anatomy, such as BPH or strictures.

What is the correct way to clean the perineal area before catheter insertion?

With warm water and soap or perineal cleanser.

Why is sterile lubrication used during catheter insertion?

To minimize urethral trauma and discomfort.

How far should the catheter be inserted in a female patient?

5 to 7.5 cm until urine flows, then advance an additional 5 cm.

How should the catheter be held during insertion?

Hold 7.5 to 10 cm below the tip with the sterile dominant hand.

What should be used to apply sterile gloves?

Use sterile technique to prevent transmission of microorganisms.

What does the term "indwelling catheter" refer to?

A catheter that remains in the bladder for an extended period.

What is a major concern when performing urethral catheterization in male patients?

Sensitivity to pain and anatomical variations that could complicate insertion.

What does blood in urine indicate when catheterizing?

Possible underlying injury or infection.

What must be ensured before attaching the drainage bag?

The clamp should be closed.

What is the primary function of a standard urinary catheter?

To drain urine from the bladder.

What is the appropriate patient position for male catheterization?

Supine with legs extended and slightly apart.

What is the role of a bladder scanner in catheterization?

To assess bladder fullness before inserting the catheter.

What should be done if any tubing disconnects or leaks?

Replace the disconnection or leaking tubing.

When emptying a urine collection bag, what should be avoided?

Letting the outlet port touch anything.

How should the urinary drainage bag be positioned?

Below the level of the bladder at all times.

How often should drainage bags be emptied?

At least once per shift.

What is the purpose of using a waterproof pad under the patient?

To prevent soiling of bed linen.

What should the healthcare provider assess before inserting a catheter?

Bladder fullness and perineal condition.

What cleaning method is recommended for the periurethral area?

Soap and water only, without vigorous cleaning.

What should be done with the catheter tip before insertion?

Lubricate with sterile lubricant.

What is prohibited when handling the catheter and drainage system?

Touching non-sterile surfaces with sterile gloves.

What signifies obstruction during catheter use?

Presence of urine leakage around the catheter.

What equipment is typically included in a catheterization kit?

Sterile gloves, catheter, lubricant, urinary bag, cleaning solution.

What anatomical landmarks should be assessed for catheterization?

Perineal anatomy for proper insertion.

Who should perform urine bag emptying?

Only trained staff.

What type of catheter is beneficial for urinary stricture disease?

Coude (curved) tip catheter.

What is an important step after catheter insertion?

Ensure the catheter is stabilized and secured.

When is it necessary to use a sterile needle/syringe?

To aspirate urine from the sampling port.

What type of patient areas should be exposed during catheter insertion?

Only the required anatomical areas to maintain patient dignity.

What does performing hand hygiene immediately after catheterization help prevent?

The spread of infection.

What is a key post-insertion consideration for nurses?

Monitor the patient for any signs of complications or discomfort.