Gloving and Catheterization

Study guide 10-20, 36-43

Open glove technique is _________ when wearing a sterile gown

not recommended

AST defines catheterization as the introduction of a _______ via the urethra into the ________ for the purpose of ________ and/or _______

flexible tube, bladder, drainage, irrigation

Foley catheterization is considered an _________ procedure

invasive

If placing a Foley catheter, a _________ is required

physician’s order

Some indications for urethra catheterization include ______ and _______ of the bladder, control of ________, drainage of _______, and __________ of urine output to aid in assessing kidney function and fluid balance

irrigation, decompression, bleeding, urine, preoperative monitoring

Decompression of the bladder results in prevention of _______ during pelvic procedures, better ________ during pelvic procedures, and facilitated _________ of urinary tract structures following genitourinary procedures

bladder trauma, surgical site visualization, healing

During urethral catheterization, ________ must be used

sterile technique

Improper catheter insertion may cause ______ injury, _______ infections, or ______

urethral, urinary tract, kidney, or blood, septicemia

During catheterization, be aware of the patient's ______ status and use a ______ alternative if necessary

allergy, latex

Use the ______ of catheter that will drain the bladder without leakage

smallest size

The _______ will order the style of catheter desired (the ______ catheter is the most common)

surgeon, Foley

The catheter balloon is inflated with _______ rather than air (which may cause an embolism) or saline (which may break down the catheter material and cause calculus)

water

_______ of water is necessary to inflate a 5 ml balloon successfully, as it compensated for the fluid which remains in the _______

10 ml, inflation channel

Drainage of urine occurs by _______, so be sure that the tubing is not kinked or compressed and the urinary collection bag is placed _____ than the level of the bladder

gravity, below

Securing the catheter tubing to the patient’s _______ prevents unnecessary tension on the urethra and accidental catheter removal

thigh

Catheterization is usually performed after _________ to prevent undue patient pain and discomfort

induction of anesthesia

Patients with a vagina are placed in _________ position for catheterization

frog-legged

The foley catheter should be inserted ________ the vaginal or abdominal skin prep in order to prevent ________ to the surgical site

before, perineal splash

A size ______ catheter is usually used for patients with a vagina

14-16 Fr

A size ______ catheter is usually used for patients with a penis

16-18 Fr

Some _____ catheters contain latex and should not be used if the patient has a sensitivity to it

Foley

Foley catheter manufacturers _______ testing the balloon before insertion

do not recommend

The balloon of a Foley catheter is expanded only after _________ and the bladder is allowed to drain

urine is seen in the tubing

Cutting the end of the catheter off with scissors may cause the inflation port to _____, trapping fluid within the ________ and causing urethral damage upon withdrawal

collapse, expanded balloon