Types of Catheterizations
You introduce a straight single-use catheter long enough to drain the bladder. When the bladder is empty, you immediately withdraw this type of catheter.
Intermittent Catheterization
What are 4 general interventions to take upon entering a patient's room?
1. Introduce self
2. Perform hand hygiene
3. Provide Privacy
4. Check 2 patient identifiers
What is the proper format for a Nursing Diagnosis?
PES
1.Problem
2. Etiology
3. Symptoms
What is the definition of urinary catheterization?
Providing a continuous flow of urine in patients who are unable to control micturition or those with obstructions
Hospital-acquired urinary tract infections (UTIs) are often related to poor hand washing and:
A. Poor urinary output
B. Improper catheter care
C. Use of urinary drainage bags
D. Poor perineal care
B. Improper catheter care
This type of catheterization is used for obstruction to urine flow, as well as surgical repair of bladder, urethra, and surrounding structures. It also prevents urethral obstruction from blood clots after genitourinary surgery.
Short-term indwelling catheterization
What is an intervention that can be delegated to an aide?
*Assist patient who cannot ambulate onto a bed pan.
*Raise the head of the bed.
*Measure patient urine output.
*Take patient vital signs.
*Turning a patient on a schedule
List a problem related to urinary related alterations for a nursing diagnosis?
*Impaired skin integrity
*Impaired urinary elimination
*Risk for infection
*Toileting self-care deficit
*Urinary retention/incontinence
List a problem related to urinary related alterations for a nursing diagnois?
List a use of a catheter.
Ex: It provides a means of assessing urine output in hemodynamically unstable patients
When a condom catheter is applied, the catheter should be secured on the penile shaft in such manner that the catheter is:
A. Tight and draining well
B. Dependent and draining well
C. Secured with adhesive tape applied in a circular pattern
D. Snug and secure but without causing constriction that impedes blood flow.
D. Sung and secure but without causing constriction that impeded blood flow.
This type of catheterization is used for severe urinary retention with recurrent episodes of UTI. As well as skin rashes, ulcers, or wounds, irritated by contact with urine. Lastly, with terminal illness when bed linen changes are painful for patient.
Long-term indwelling catheterization
What're some interventions nurses can take in order to prevent CAUTIs in patients with short- and long-term indwelling catheters?
*staff education
*monitoring of catheter use
*insertion technique
*urethral meatal care
*securement, use of a closed drainage system
*bladder irrigation
*frequency of catheter change
*antiseptic solutions in the drainage bag
List an etiology related to urine elimination alterations for nursing diagnosis.
*Incontinence
*
List a use of a catheter.
Ex. Use of measurement for specimen collection.
A 36 year old female, who is 29 weeks pregnant, reports she is experiencing burning when voiding. The physician orders a urinalysis. Which statement by the patient demonstrates she understands how to collect the specimen?
A. "I’ll hold the cup firmly against the urethra while collecting the sample."
B. "I will cleanse back to front with the antiseptic wipe before peeing in the cup."
C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."
D. "I will be sure to drink a lot of fluids to keep the urine diluted before peeing into the cup."
C. "First, I will pee a small amount of urine in the toilet and then collect the rest in the cup."
Can be used as an alternative to catheterization. It is used for incontinent or comatose men who still have complete and spontaneous bladder emptying.
Condom Catheterization
What type of interventions could be given through patient education on urinary habits?
*Perineal hygiene (cleansing while taking a bath)
*Maintaining adequate fluid intake
*Maintaining elimination habits.
*Promote complete bladder emptying
List the symptoms related to urinary alterations in the nursing diagnosis?
*Inability to change positions
List a use of a catheter.
Ex. Management of incontinence
You’re providing discharge teaching to a female patient on how to prevent urinary tract infections. Which statement is INCORRECT?
A. "Void immediately after sexual intercourse."
B. "Avoid wearing tight fitting underwear."
C. "Try to void every 2-3 hours."
D. "Use scented sanitary napkins or tampons during menstruation."
D. "Use scented sanitary napkins or tampons during menstruation."
An alternative type of catheterization that involves surgical placement of a catheter through the abdominal wall above the symphysis pubis and into the urinary bladder.
Suprapubic Catheterization
According to evidence based practice, the specific use of foley catheters can help reduce the re-entry of what in the urinary bladder?
organisms
Ms. Rodriguez, a 58 year old patient, came in complaining of burning while urinating, as well as pain in lower back. What is a possible nursing diagnosis for Ms. Rodriguez based off of given information.
Ex.
Acute pain in lower back related to inability to urinate
True or False. A straight single use catheter uses an inflated balloon.
False. It uses a Foley
False. It uses a Foley
Elimination changes that result from obstruction to the flow of urine in the urinary collecting system may cause which of the following? (Select all that apply.)
A. Blood clots
B. Dehydration
C. Renal damage
D. Urinary retention
E. Urinary tract infection (UTI)
C. Renal damage
D. Urinary Retention
E. Urinary tract infection (UTI)