Term
| When applying an external urinary device, why should the nurse clean the genital area and dry thoroughly. |
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Definition
| This minimizes the skin irritation and ascoriation after the condom is applied. |
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Term
| When applying an external urinary device, why should the nurse leaves 2.5 cm between the end of the penis and the rubber or plastic connecting tube. |
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Definition
| This space prevents irritation of the tip of the penis and provides for full drainage of urine. |
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Term
| When applying an external urinary device, why should the nurse make sure that the tip of the penis is not touching the condom and that the condom is not twisted. |
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Definition
| A twisted condom could obstruct the flow of urine. |
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Term
| When applying Extertal urinary device, why should the nurse attach the bag to the clients leg if the client is ambulatory. |
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Definition
| Attaching the drainage bag to the leg helps control the movement of the tubing and prevents twisting of the thin material of the condom appliance at the tip of the penis |
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Term
| After applying an external urinary device, why should the nurse inspect the penis 30 minutes following condom application and at at least every four hours, assessing for swelling and discoloration. |
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Definition
| This indicates that the condom is too tight. |
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Term
| When performing urinary catheterization, why should the nurse complete a bladder scan to assess the amount of urine present in the bladder if catheterization is being performed because the client has been unable to avoid. |
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Definition
| This prevents catheterizing the bladder when insufficient urine is present. Often, a minimum of 500 to 800 mL of urine indicates urinary retention and the client should be reassessed until that amount is present. |
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Term
| When performing a urinary catheterization, why should the nurse open the drainage package and place the end of the tubing within reach if using a collection bag and it is not contained within the catheterization kit. |
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Definition
| Because one hand is needed to hold the catheter once it is in place, open the package while two hands are still available. |
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Term
| When performing urinary catheterization, why should the nurse apply agency policy regarding pretesting of the balloon. |
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Definition
| If the balloon malfunctions, it is important to replace it prior to use. |
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Term
| When performing urinary catheterization, why should the nurse hold the penis firmly upright, with slight tension. |
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Definition
| Lifting the penis in this manner helps straighten the urethra. |
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Term
| When performing urinary catheterization, why should the nurse advance the catheter 5 cm/2 inches farther after the urine begins to flow through it. |
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Definition
| This is to be sure it is fully in the bladder, will not easily fall out, and the balloon is in the bladder completely. |
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Term
| After performing urinary catheterization, why should the nurse use tape or a manufactured catheter securing device to secure the catheter tubing to the client. |
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Definition
| This prevents unnecessary trauma to the urethra. |
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Term
| Before performing bladder irrigation, why should the nurse empty, measure, and record the amount and appearance of urine present in the drainage bag. |
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Definition
| Emptying the drainage bag allows more accurate measurement of urinary output after the irrigation is in place or completed. Assessing the character of the urine provides baseline data for later comparison. |
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Term
| When performing bladder irrigation, why should the nurse open the clamp on the urinary drainage tubing when using a three way catheter and closed continuous irrigation. |
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Definition
| This allows the irrigating solution to flow out of the Bladder continuously |
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Term
| When performing bladder irrigation, why should the nurse close the clamp to the urinary drainage tubing if the solution is to remain in the bladder. |
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Definition
| Closing the flow clamp allows the solution to be retained in the bladder and in contact with Blatter walls. |
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Term
| When performing bladder irrigation, why should the nurse open the flow clamp on the urinary drainage tubing if the solution is being instilled to irrigate the catheter. |
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Definition
| Irrigating solution will flow through the urinary drainage port and tubing, removing mucous shreds or clots. |
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Term
| When performing an open bladder irrigation, why should the nurse use aseptic technique to open supplies and pour the irrigating solution into the sterile basin. |
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Definition
| Aseptic technique is vital to reduce the risk of instilling microorganisms into the urinary tract during the irrigation. |
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Term
| When performing an open bladder irrigation, why should the nurse disconnect the catheter from the drainage tubing and place the catheter and in the sterile basin, and place sterile protective cap Over the end of the drainage tubing. |
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Definition
| The end of the drainage tubing will be considered contaminated if it touches bed linens or skin surfaces. |
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Term
| When performing an open bladder irrigation, why should the nurse gently and slowly inject the irrigating solution into the catheter at an appropriate rate, 3 mL per second. |
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Definition
| Gentle instillation reduces the risk of injury to the bladder mucosa and of bladder spasms. |
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