NSE211 EXAMINATION QUESTIONS
WITH CORRECT ANSWERS
Anuria - Answer- - Anuria is nonpassage of urine, in practice is defined as passage of
less than 100 milliliters of urine in a day. Anuria is often caused by failure in the function
of kidneys. It may also occur because of some severe obstruction like kidney stones or
tumours.
Dribbling: - Answer- You experience frequent or constant dribbling of urine due to a
bladder that doesn't empty completely. May be due to overflow incontinence.
Incontinence- Condom Catheter - Answer- • Indications-Incontinence
• Client indicates an understanding of rationale for condom catheter use.
• Nsg Measures
PT PSYCHOLOGICAL COMFORT
On applying condom, do not wrap tape tightly around the penis as it impeded blood
supply to the penis
Leave a small space at condom tip to drain urine.
Complications -Recheck client 30 minutes later to assess skin condition .
No skin breakdown initially or over time
No leakage of urine
Client's questions are answered appropriately
a. Short-Term post operative (catheterization) - Answer- e.g. when urine outflow is
obstructed (prostate enlargement, vaginal surgery) or accurate measurement is needed
(acute illness) or to collect a sterile specimen when pt. unable to cooperate.
b. Long-Term In-Dwelling Catheterization - Answer- e.g. when chronic urinary retention
is not manageable by intermittent catheterization
Type- Intermittent Catheterization-e.g. when required to assess residual urine after
urination or as an alternative to long-term indwelling catheterization.
Urinary Catheterization - Answer- • 1.Types of urinary catheters-
• 2. Size of catheter
• 3. Type of catheter material-latex, rubber
• Telfon, Silicone-used for long term use 2-3 months
• Specialty catheters e.g. Coudé
• 4. Placement of catheters- suprapubic- surgical procedure done by physicians.
• Urinary drainage bag.
• Procedure- use aseptic technique to insert urinary catheters.
, Urinary Catheter care - Answer- • Client tolerance
• Cleansing of catheter and perineal area
• Check for any abnormal discharge.
• Male-Retract foreskin, if not circumcised - return to normal position afterwards.
• Complications-Risk of UTI
• Risk or urethral injury if balloon is inflated in urethra
• UTI- common S|s-
• Nsg process- Format ADPIE
• Nsg Documentation- SOAPIE, PIE
U catheter removal - Answer- U Catheter should be removed as soon as is clinically
appropriate (to prevent infections)
Prior to removing the catheter ensure that pt. understand the need to void.
Should void within 4-6 hrs. of catheter removal
Complications during removal-
Inability to remove catheter if balloon lumen is cut
Inability to deflate the balloon
Inability to void after catheter removal
Complication post removal- pt. does not void.
Implementation - Catheter Removal - Answer- • Obtain an order from MD, determine if
urine sample is needed
• Identify pt, explain procedure, wash hands, apply gloves
• Provide privacy & position client in same position as for catheter insertion. Remove
tape from client's leg
• Assess catheter site & note any abnormalities
• Place blue pad over client's thighs (m) or between thighs (f)
• Collect sample, if needed
• Connect syringe & fully deflate balloon - pilot balloon will collapse
• NEVER CUT THE BALLOON LUMEN
• Slide catheter out in one, gentle motion
• Examine catheter to ensure it is intact then wrap in blue pad
• Unhook collection bag, empty & measure output
• Discard used supplies
• Remove gloves & wash hands
• Reposition client, if needed
• Provide teaching
- Transient incontinence / dribbling
- Increase fluids, if allowed
- Transient burning
- Advise staff, if unable to void after 4-6 hours
• Document procedure, including output
Documentation-Example - Answer- Insertion of In-Dwelling catheter
Date/Time
WITH CORRECT ANSWERS
Anuria - Answer- - Anuria is nonpassage of urine, in practice is defined as passage of
less than 100 milliliters of urine in a day. Anuria is often caused by failure in the function
of kidneys. It may also occur because of some severe obstruction like kidney stones or
tumours.
Dribbling: - Answer- You experience frequent or constant dribbling of urine due to a
bladder that doesn't empty completely. May be due to overflow incontinence.
Incontinence- Condom Catheter - Answer- • Indications-Incontinence
• Client indicates an understanding of rationale for condom catheter use.
• Nsg Measures
PT PSYCHOLOGICAL COMFORT
On applying condom, do not wrap tape tightly around the penis as it impeded blood
supply to the penis
Leave a small space at condom tip to drain urine.
Complications -Recheck client 30 minutes later to assess skin condition .
No skin breakdown initially or over time
No leakage of urine
Client's questions are answered appropriately
a. Short-Term post operative (catheterization) - Answer- e.g. when urine outflow is
obstructed (prostate enlargement, vaginal surgery) or accurate measurement is needed
(acute illness) or to collect a sterile specimen when pt. unable to cooperate.
b. Long-Term In-Dwelling Catheterization - Answer- e.g. when chronic urinary retention
is not manageable by intermittent catheterization
Type- Intermittent Catheterization-e.g. when required to assess residual urine after
urination or as an alternative to long-term indwelling catheterization.
Urinary Catheterization - Answer- • 1.Types of urinary catheters-
• 2. Size of catheter
• 3. Type of catheter material-latex, rubber
• Telfon, Silicone-used for long term use 2-3 months
• Specialty catheters e.g. Coudé
• 4. Placement of catheters- suprapubic- surgical procedure done by physicians.
• Urinary drainage bag.
• Procedure- use aseptic technique to insert urinary catheters.
, Urinary Catheter care - Answer- • Client tolerance
• Cleansing of catheter and perineal area
• Check for any abnormal discharge.
• Male-Retract foreskin, if not circumcised - return to normal position afterwards.
• Complications-Risk of UTI
• Risk or urethral injury if balloon is inflated in urethra
• UTI- common S|s-
• Nsg process- Format ADPIE
• Nsg Documentation- SOAPIE, PIE
U catheter removal - Answer- U Catheter should be removed as soon as is clinically
appropriate (to prevent infections)
Prior to removing the catheter ensure that pt. understand the need to void.
Should void within 4-6 hrs. of catheter removal
Complications during removal-
Inability to remove catheter if balloon lumen is cut
Inability to deflate the balloon
Inability to void after catheter removal
Complication post removal- pt. does not void.
Implementation - Catheter Removal - Answer- • Obtain an order from MD, determine if
urine sample is needed
• Identify pt, explain procedure, wash hands, apply gloves
• Provide privacy & position client in same position as for catheter insertion. Remove
tape from client's leg
• Assess catheter site & note any abnormalities
• Place blue pad over client's thighs (m) or between thighs (f)
• Collect sample, if needed
• Connect syringe & fully deflate balloon - pilot balloon will collapse
• NEVER CUT THE BALLOON LUMEN
• Slide catheter out in one, gentle motion
• Examine catheter to ensure it is intact then wrap in blue pad
• Unhook collection bag, empty & measure output
• Discard used supplies
• Remove gloves & wash hands
• Reposition client, if needed
• Provide teaching
- Transient incontinence / dribbling
- Increase fluids, if allowed
- Transient burning
- Advise staff, if unable to void after 4-6 hours
• Document procedure, including output
Documentation-Example - Answer- Insertion of In-Dwelling catheter
Date/Time
