Nokea
An indwelling catheter has a balloon that keeps the catheter in place.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: An indwelling catheter, such as a Foley, has a balloon inflated with sterile water to secure it in the bladder.
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Under what circumstances is it appropriate to use an indwelling catheter in a long-term care setting?
- A. If the patient has a stage I or stage II pressure ulcer
- B. If the patient has a stage III or stage IV pressure ulcer
- C. If the patient is continuously incontinent of urine and is at risk for pressure ulcers
- D. If the patient has a terminal illness
- E. If the patient has a severe impairment such that positioning and clothing changes are painful
Correct Answer: C,D,E
Rationale: Indwelling catheters are appropriate for severe incontinence risking pressure ulcers, terminal illness, or when positioning causes significant pain.
You are teaching an aide to perform catheter care. Which of the following represents an accurate statement?
- A. Clean the perineum and a few inches of tubing using a perineal wash and a washcloth or gauze in downward strokes away from the body.
- B. Wash the perineum with a soapy washcloth using circular motions.
- C. Wash from the tubing 3 to 4 inches from the insertion site up toward the meatus.
- D. Separate the labia if the patient is female and wash first on one side, then the other, and then down the middle.
Correct Answer: A,D
Rationale: Cleaning downward from the meatus and separating the labia to clean thoroughly prevents infection by moving away from the insertion site.
Urinary tract infections are more common in males than in females.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: UTIs are more common in females due to their shorter urethra.
You have just inserted an indwelling catheter in a 56-year-old male patient with urinary retention due to an enlarged prostate. You notice that the drainage bag is filling quickly, with 750 mL of urine almost immediately draining into it. Which of these actions will you take?
- A. Clamp the catheter after 1,000 mL has drained to prevent bladder collapse.
- B. Clamp the catheter after 1,200 mL has drained to prevent hematuria.
- C. Take no action because the patient is tolerating rapid bladder decompression without problems.
- D. Remove the catheter after 1,500 mL has drained and call the health-care provider.
Correct Answer: C
Rationale: Rapid drainage is normal in urinary retention, and no action is needed if the patient is tolerating it without symptoms like pain or hematuria.
also known as overactive bladder, is the inability to keep urine in the bladder long enough to get to the restroom.
- A. Urge incontinence
- B. Stress incontinence
- C. Overflow incontinence
- D. Functional incontinence
Correct Answer: A
Rationale: Urge incontinence is characterized by a sudden, intense urge to urinate followed by involuntary loss of urine, often due to an overactive bladder.