NUR 1229- ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS (VERIFIED ANSWERS); A GRADE
A sterile catheter kit contains: - correct answer- -sterile gloves
-sterile drapes
-sterile catheter
-antiseptic cleaner (betadine or chlorohexidine)
-cotton balls
-antiseptic swabs
-lube
-forceps
-prefilled syringe with sterile water (10cc or whatever is the balloons
holding capacity)
-sterile basin
-sterile specimen container
-leg securement device
Care for the catheter patient - correct answer- -handwashing
-correct insertion with sterility
-female- thigh securement
-male abdomen securement (avoid tugging on urethra, more
comfortable and decreased infection risk)
,-drainage bag below bladder to prevent back flow
-tube and bag off ground and on stationary object
-keep closed until open for emptying and irrigation
-urine specimens collected by aseptic and closed method
-keep free from obstruction
-avoid irrigating unless MD ordered or to remove obstruction
-adequate fluid intake
-empty bag at 1/2 to 2/3 full
-don't touch spout of bag to collection device
-clean bag and provide peri care daily
-strict I&O followed
Cather insertion documentation: - correct answer- -date
-time
-size of cath
-patient response
-sterile technique used!
-how much water (Not NS) put in
-how much urine (its characteristics as well) pulled out upon insertion
-bag on stationary piece
-bed low
-call light on and near
, Catheter discontinuation documentation: - correct answer- -size
-how much water put in and how much fluid pulled out
-told patient to drink water
-teach when they void to notify nurse
-bag placed at bed
-bed low
-call light on and near
---must try to get all fluid initially put in out
-i.e if only 7 mL pulled instead of 10mL, document you tried to get all out
but that the catheter came out smoothly
Catheter female problem shooting: - correct answer- Wrong orifice?
leave in, grab new kit, start over
-never reinsert that same Cath into new spot- spreads bacteria
-this method also helps find correct placement
Patient is moving legs
-ask to be as still as possible
-get help to support legs
-if field is contaminated, must start over
ANSWERS (VERIFIED ANSWERS); A GRADE
A sterile catheter kit contains: - correct answer- -sterile gloves
-sterile drapes
-sterile catheter
-antiseptic cleaner (betadine or chlorohexidine)
-cotton balls
-antiseptic swabs
-lube
-forceps
-prefilled syringe with sterile water (10cc or whatever is the balloons
holding capacity)
-sterile basin
-sterile specimen container
-leg securement device
Care for the catheter patient - correct answer- -handwashing
-correct insertion with sterility
-female- thigh securement
-male abdomen securement (avoid tugging on urethra, more
comfortable and decreased infection risk)
,-drainage bag below bladder to prevent back flow
-tube and bag off ground and on stationary object
-keep closed until open for emptying and irrigation
-urine specimens collected by aseptic and closed method
-keep free from obstruction
-avoid irrigating unless MD ordered or to remove obstruction
-adequate fluid intake
-empty bag at 1/2 to 2/3 full
-don't touch spout of bag to collection device
-clean bag and provide peri care daily
-strict I&O followed
Cather insertion documentation: - correct answer- -date
-time
-size of cath
-patient response
-sterile technique used!
-how much water (Not NS) put in
-how much urine (its characteristics as well) pulled out upon insertion
-bag on stationary piece
-bed low
-call light on and near
, Catheter discontinuation documentation: - correct answer- -size
-how much water put in and how much fluid pulled out
-told patient to drink water
-teach when they void to notify nurse
-bag placed at bed
-bed low
-call light on and near
---must try to get all fluid initially put in out
-i.e if only 7 mL pulled instead of 10mL, document you tried to get all out
but that the catheter came out smoothly
Catheter female problem shooting: - correct answer- Wrong orifice?
leave in, grab new kit, start over
-never reinsert that same Cath into new spot- spreads bacteria
-this method also helps find correct placement
Patient is moving legs
-ask to be as still as possible
-get help to support legs
-if field is contaminated, must start over
