INSTRUCTIONS: To complete this exercise, circle the letter of the response that best answers the question or completes the statement or write the answer in the space provided. After you have completed the all of the exercises, turn to “Solutions to Exercises” at the end of this lesson and check your answers. If you have responded to any of the exercises incorrectly, reread the material referenced after the answer.
1. Catheterization of the urinary bladder is an _______________ procedure for which
______________ equipment is required.
2. Four purposes of urinary catheterization are:
a. ___________________________________________________________.
b. ___________________________________________________________.
c. ___________________________________________________________.
d. ___________________________________________________________.
3. The French scale (Fr.) is used to denote the size of a catheter. Each unit is roughly equivalent to __________ in diameter.
4. The smaller the number denoting the size of the catheter, the _______________ the catheter.
5. Number 20 Fr. and 22 Fr. catheters are usually used for _____________________.
6. The catheters most commonly used are made of ________________ and have a __________________ to prevent injury to the meatus or urethra.
7. Because catheters are difficult to sterilize, they should be considered __________________ and ________________ after they have been removed.
8. Three types of urinary catheters are:
a. ___________________________________________________________.
b. ___________________________________________________________.
c. ___________________________________________________________.
9. ____________________________ is a major risk of catheterization.
10. The catheterization procedure should be done only by trained personnel under_____________ conditions.
11. The _______________________________ catheter is inserted into the bladder through a small incision above the pubic area.
12. The ______________ catheter is the most commonly used indwelling catheter. It has a balloon at the distal end which is inflated to prevent the catheter from slipping out.
13. When catheterizing a male, you should lubricate the catheter tip at least _________ inches.
14. To cleanse the male meatus, you should use the forceps to hold each cotton ball and swab ________________________________________________________.
15. To catheterize a male, hold the penis at a _________ angle and gently insert the lubricated catheter into the urinary meatus.
16. When catheterizing a female, you should lubricate the catheter tip at least _______ inches.
17. To catheterize a female, you should use the thumb and forefinger of your ________________________ hand to spread and separate the labia minora. After that hand has touched the patient it is considered to be _____________________.
18. To cleanse the female meatus, you should use ________ cotton ball for each stroke, and swab from __________ the meatus downward toward the rectum, then cleanse_________________________________ in the same downward manner.
19. After inserting the catheter into the female meatus, angle it ___________________ as it is advanced.
20. After connecting the catheter to a drainage bag, it should be secured to the female patient’s ___________________________.
21. To reduce the possibility of an infection occurring, the patient’s perineal area should be cleansed with soap and water ______________________ daily and ____________________________________________________________.
22. To increase urine production and dilute the particles that form in urine, the patient with an indwelling catheter should intake ____________cc to _____________cc of fluid daily.
23. An asepto syringe, basin, tubing protector, sterile solution, and gauze moistened with antiseptic are supplies and equipment used to _________________________ _______________________________________________________.
24. A 10 cc syringe, soap and water, a washcloth and towel, exam gloves, and Chux® are supplies and equipment used to ____________________________________.
25. A _______________________________________________ includes the catheter, a drape, a receptacle to receive urine, materials to cleanse the meatus, a lubricant, a specimen container, and sterile gloves.
Check Your Answers
SOLUTIONS TO EXERCISE, LESSON 3
1. Aseptic; sterile. (para 3-1)
2. The following in any order.
To relieve urinary retention.
To obtain a sterile urine specimen from a female patient.
To measure the amount of residual urine in the bladder.
To empty the bladder before, during, or after surgery. (paras 3-2a–d)
3. 33 mm. (para 3-3)
4. Smaller. (para 3-3)
5. Male adult. (para3-3d)
6. Plastic; rounded tip. (para 3-4)
7. Disposable; discarded. (para 3-4)
8. Intermittent.
Retention or indwelling.
Supra pubic. (paras 3-4a–c)
9. Infection. (para 3-5)
10. Sterile. (para 3-5)
11. Supra pubic. (para 3-4c)
12. Foley. (para 3-4b(4))
13. Six. (para 3-6f)
14. In a circulate manner from the center of the meatus outward. (para 3-6j)
15. 90°. (para 3-6l)
16. Three. (para 3-7f)
17. Nondominant; contaminated. (para 3-7h)
18. One; above; each side of the meatus. (paras 3-7i–j)
19. Upward. (para 3-7m)
20. Thigh. (para 3-7r and fig. 3-7)
21. Twice; after each bowel movement. (para 3-8b)
22. 2500 cc to 3000 cc. (paras 3-8h, 3-9)
23. Irrigate an indwelling catheter. (paras 3-9a(1)–(5))
24. Remove an indwelling catheter. (paras 3-10a(1)–(5))
25. Disposable indwelling catheter kit. (para 3-5(1))