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NRSG 201 With Complete Solutions Latest Update

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NRSG 201 With Complete Solutions Latest Update

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  • October 31, 2024
  • 72
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Solution 2024/2025
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NRSG 201 With Complete Solutions Latest
Update

why would you use a catheter for short term ANS✔✔ 1) Acute urinary
retention (palpation/bladder scan)

2) Bladder decompression during and following surgery

3) Monitoring urinary output (eg. critically ill client)

4) Residual urine > 500 mL post-void residuals (PVR) in adults,

and > 250 mL PVR in the frail elderly

5) In/out urine sample (C&S)

6) Prevention of obstruction from blood clots

7) Epidural anesthesia



do you do QPA or bedside safety equipment checks first ANS✔✔ QPA



what is residual volume ANS✔✔ the urine left in the bladder when someone
doesn't empty their bladder completely



why would you use a catheter for long term ANS✔✔ 1) Urinary incontinence
with urinary retention

2) Chronic urinary retention

3) Management of non-healing stage 3 or 4 pressure ulcer with urinary
incontinence (perineal/sacral area)

4) Comfort care for palliative care (eg. pain/immobility)

, Solution 2024/2025
Pepper
what would you use for someone with urinary incontinence ANS✔✔ a pad



what would you use for someone with urinary retention ANS✔✔ a catheter



what catheter size do you use for someone aged 0-12 ANS✔✔ 6Fr-12Fr



generally, what size catheters do you give women ANS✔✔ usually 12Fr-14Fr



generally, what size catheters do you give men ANS✔✔ usually 14Fr-16Fr



generally, what size catheters do you give someone with hematuria/CBI
ANS✔✔ usually Fr-24Fr



what is CBI ANS✔✔ continuous bladder irrigation to prevent clots



what is hematuria ANS✔✔ blood in the urine



what are the types of catheter sizes ANS✔✔ from 6Fr-36Fr in diameter
(higher the number, larger the diameter of the catheter)



what is the size of the regular Foley catheter balloons ANS✔✔ 10ml



what is the size of the 3-way catheters used for bladder irrigation

(intermittent or continuous) ANS✔✔ 30ml

, Solution 2024/2025
Pepper
when would you use a catheter stat-lock securement device on a pt ANS✔✔
on all pts with urinary catheters



what are the 4 types of urinary drainage bags ANS✔✔ - large/overnight
drainage bag

- urine meter drainage bag

- leg bag

- NB



make sure to always hang NB bags.. ANS✔✔ below the bladder



overnight drainage bag ANS✔✔



urine meter drainage bag ANS✔✔



leg bag ANS✔✔



what are NB bags ANS✔✔ night bags



why do people wear urine meter drainage bags ANS✔✔ - to see how much
the pt has urinated per hour



what are the benefits of having a urinary catheter ANS✔✔ - improved skin
integrity for incontinent pts

- regular drainage for urinary retention pts

, Solution 2024/2025
Pepper
- convenient for nurse assessments

- helpful during surgical procedures

- allows constant monitoring of urine output

-comfort measure for palliative pts



what are the risks of using a catheter ANS✔✔ -infection - UTI

- trauma



how can you prevent UTIs ANS✔✔ - Only for specific medical reasons not
staff convenience

- Consider alternatives (intermittent catheterization, condom drainage or
incontinence products)

- Assess catheter daily

- Remove catheter as soon as possible



what are the 3 types of catheters ANS✔✔ - 1-way

- 2 way

- 3 way



what are 1 way catheters used for ANS✔✔ intermittent catheters

- empty every 3-4hrs, rinse and put it on



what are 2 way catheters used for ANS✔✔ in case of urinary incontinence

(e.g., following a urological surgery procedure), or to void for non-
ambulatory patients

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