Chapter 25: Urinary Catheters

When removing an indwelling catheter, a syringe is needed to

Remove water in the balloon

When you are careful handling and caring for catheters, you decrease the risk of ____________ for the person.

UTI

If a catheter is accidentally disconnected from the drainage bag, you should tell the nurse at once and then

Wipe the end of the tube with an antiseptic wipe and the end of the catheter with another antiseptic wipe.

A catheter is secured to the inner thigh or the man's abdomen to prevent

excess catheter movement and friction at the insertion site.

If a person uses a leg drainage bag, it

is switched to a drainage bag when the person is in bed.

Do not apply condom catheter if the penis is _______________________, ________________, or show signs of ________________.

- Red - Irritated -Skin Breakdown

If a drainage system is disconnected accidentally, what should you do?

- Tell the nurse at once - Do not touch the ends after you clean them - Practice hand hygiene. Put on gloves. - Wipe the end of the drainage tube with an antiseptic wipe. - Wipe the end of the catheter with another antiseptic wipe. - Do not put the ends down - Connect the drainage tubing to the catheter - Discard the wipes into a biohazard bag. -Remove the gloves. Practice hand hygiene.

What happens if a drainage bag is higher that the bladder? _______________ This can cause

- Urine can get backed up - Cause infection

When you are allowed to remove a catheter, what information is needed from the nurse?

- When to remove the catheter - The amount of water used from balloon inflation. - Syringe size needed - What observations to report and record - When to report observations - What patient or resident concerns to report at once.

The process of inserting a catheter is

Catheterization

When you give catheter care, clean the catheter about _______________ inches. Clean ___________ from the meatus with ________________ stroke.

- 4 inches - Clean downward - 1 Stroke

When a person has a catheter, what observations should you report and record?

- Complaints of pain, burning, irritation, or the need to void. (report at once) - Crusting, abnormal, drainage, or secretions - The color, clarity, and odor of urine - Particles in the urine - Blood in the urine - Cloudy urine - Urine leaking at the insertion site - Drainage system leaks

When you need to move a drainage bag to the other side of the bed, you must

- Keep the catheter and drainage tube free of kinks - Keep the drainage bag below bladder level. - Make sure she is not lying on the drainage tube. - Avoid resting the bag on the floor.

When a catheter is inserted after a person voids and then removed, it is used to measure the

Amount of urine in the bladder. Called residual urine.

When applying a condom catheter

Apply elastic tape in a spiral around the penis.

The drainage bag from a catheter should not be attached to the

Bed rail

A _______________ is a tube used to drain or inject fluid through a body opening.

Catheter

When cleaning a catheter, you should

Clean the catheter from the meatus down the catheter about 4 inches.

A soft sheath that slides over the penis and is used to drain urine is a

Condom Catheter

A condom catheter is changed

Daily after perineal care

An indwelling or retention catheter is also called a

Foley catheter

A catheter is used for all of these except

For all persons with incontinence

A catheter left in the bladder so urine drains constantly into a drainage bag is called a retention, Foley, or

Indwelling catheter

A leg bag needs to be emptied more often than a drainage bag because

It holds less than 1000ml and the drainage bag holds about 2000ml.

When you empty a drainage bag, you

Open the clamp on the drain and let urine drain into a graduate.

When securing the drainage tubing, you should

Pin the tubing to the bottom linens

Why is it important to secure the catheters and drainage tubing as shown in the drawings?

Prevents excess catheter movement and friction at the insertion site.

A Foley or indwelling catheter is also called

Retention Catheter

Is the urinary drainage system sterile or non- sterile?

Sterile

A catheter that drains the bladder and then is removed is a

Straight catheter