Urinary Catheterization & Enemas Questions and Answers 100% Pass

Urinary Catheterization & Enemas Questions and Answers 100% Pass What are appropriate indications for indwelling a urethral catheter (CDC Guidelines) - -Pt has acute urinary retention or bladder outlet obstruction -Need for accurate urine output measurement -To assist in healing of open sacral or perineal wounds -Pt requires prolonged immobilization -To improve comfort for end of life care Gender specific concerns: Anatomy - -3 openings for females -Misplacement of catheter -Escherichia coli (E.coli) 2 100% Pass Guarantee Katelyn Whitman, All Rights What are some things you want to document for urinary catheter insert care? - Catheter type, insertion date/time, catheter size, initial urine output, urinary catheter # of attempts, catheter present prior to arrival, reason for catheter, care, patency, urine color, odor, and appearance What are some things you want to document for urinary catheter removal? - Pericare, date/time removed, reason for removal, if the catheter was intact on removal, urinary catheter days What are some things you would want to document for post catheter removal care? - Date due to void, time due to void, reason for bladder scan, bladder scan amount, output, post void residual Output: - -30 mL/hour -1,200 to 1,500 mL/day Intake: - 2,000 - 2,500 mL/day for pt's with catheters in permitted What do you want to assess for when looking at urine output? - color, clarity, and odor How many types of securement are there with a condom catheter? - 3 3 100% Pass Guarantee Katelyn Whitman, All Rights Can you use tape as a form of securement for a condom catheter? - NO! What care is needed for a condom catheter? - Change daily, Clean site, Check tubing for patency How often do you want to change a condom catheter? - Daily Specimen collection: Indwelling Urinary Catheter - Clamp, Pinch, Loop What is an enema? - It's the instillation of a solution into the rectum & sigmoid colon to relieve constipation or deliver medication How does an enema work? - It stimulates peristalsis, the volume of fluid breaks up fecal mass, then stretches the rectal wall, and initiates defecation reflex What are the types of enemas? (5 of them) - Normal Saline, Oil retention, Tap water, Fleets, Soapsuds What is a Normal Saline enemas? - Exerts same osmotic pressure as fluid in interstitial space surrounding bowel (safest)