Exam (elaborations)
NRSG 201 With Complete Solutions Latest Update
- Course
- NRSG 201
- Institution
- Montana State University - Billings
NRSG 201 With Complete Solutions Latest Update
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Solution 2024/2025Pepper
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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