Catheterization Procedures: Types, Indications, and Techniques

Question 1

A patient with an indwelling urinary catheter develops signs and symptoms of a urinary tract infection (UTI). Which nursing intervention should be initiated immediately?

Accepted Answer

Obtain a urine specimen for culture and sensitivity, and initiate antibiotics per physician's order.

Answer

Remove the urinary catheter immediately.

Answer

Increase the patient's fluid intake only.

Answer

Apply a warm compress to the patient's lower abdomen.

Question 2

Which of the following is the primary indication for an indwelling urinary catheter?

Accepted Answer

Relieving urinary retention and preventing bladder complications

Answer

Collecting urine samples for laboratory tests

Answer

Monitoring urine output for critically ill patients

Answer

Directly administering medications into the urinary system

Question 3

When inserting a Foley catheter, the appropriate fluid to inflate the balloon is:

Accepted Answer

Normal saline

Answer

Air

Answer

Sterile water

Answer

Urine

Question 4

Which nursing action is crucial in preventing catheter-associated urinary tract infections (CAUTIs)?

Accepted Answer

Maintaining a closed drainage system

Answer

Washing the genital area once a day

Answer

Changing the catheter bag every 8 hours

Answer

Prescribing prophylactic antibiotics

Question 5

Which catheter type is typically used for intermittent catheterization?

Accepted Answer

Straight catheter

Answer

Foley catheter

Answer

Suprapubic catheter

Answer

Urethral plug

Question 6

Which of the following is the most commonly used type of catheter for urinary drainage?

Accepted Answer

Foley catheter

Answer

PICC catheter

Answer

Central line catheter

Answer

Swan-Ganz catheter

Question 7

Primarily, what is the indication for inserting a Foley catheter?

Accepted Answer

Drainage of urine from the bladder

Answer

Administration of medications

Answer

Measurement of urinary output

Answer

Collection of urine specimens

Question 8

During the insertion of a Foley catheter, which step is considered essential?

Accepted Answer

Maintaining sterile technique

Answer

Lubricating the catheter

Answer

Inflating the balloon with sterile water

Answer

Securing the catheter to the thigh

Question 9

Urine is not draining from a Foley catheter. What is the first action to take?

Accepted Answer

Inspect the catheter for kinks or obstructions

Answer

Irrigate the catheter with sterile water

Answer

Replace the catheter bag

Answer

Contact the healthcare provider

Question 10

Which type of catheter is most commonly used for short-term urinary drainage?

Accepted Answer

Foley catheter

Answer

Suprapubic catheter

Answer

Urethral catheter

Answer

Intermittent catheter

Question 11

Prior to inserting a Foley catheter, which action is of utmost importance?

Accepted Answer

Obtaining informed consent from the patient

Answer

Inflating the balloon with 10 mL of sterile saline

Answer

Lubricating the catheter with sterile jelly

Answer

Cleansing the insertion site with soap and water

Question 12

If resistance is encountered during catheter insertion, what should the nurse do?

Accepted Answer

Cease insertion and reevaluate the patient's condition

Answer

Apply gentle pressure to advance the catheter further

Answer

Irrigate the urethra with sterile water

Answer

Switch to a catheter with a larger diameter

Question 13

Which complication is most frequently associated with catheterization?

Accepted Answer

Infection

Answer

Hemorrhage

Answer

Urethral trauma

Answer

Bladder perforation

Question 14

Which condition is NOT an indication for catheterization?

Accepted Answer

Treating urinary incontinence

Answer

Urinary retention

Answer

Postoperative care

Answer

Monitoring urine output

Question 15

Which of the following is a type of indwelling catheter commonly used in nursing practice to drain urine from the bladder?

Accepted Answer

Foley catheter

Answer

Nasogastric tube

Answer

Central venous catheter

Answer

Pulmonary artery catheter

Question 16

What is the primary indication for urinary catheterization?

Accepted Answer

To drain urine from the bladder

Answer

To administer medications

Answer

To measure urine output

Answer

To monitor bladder pressure

Question 17

What is the primary function of a sterile lubricant during catheterization?

Accepted Answer

To facilitate smooth insertion of the catheter

Answer

To prevent trauma to the urethra

Answer

To reduce friction

Answer

To disinfect the insertion site

Question 18

When removing a Foley catheter, which action is crucial to minimize discomfort and potential complications?

Accepted Answer

Clamp the catheter before removing it

Answer

Pull the catheter straight out without hesitation

Answer

Inflate the balloon before removing it

Answer

Wait for the patient to urinate before removing it

Question 19

What is the primary benefit of using a closed drainage system for catheterized patients?

Accepted Answer

To maintain sterility of the drainage system

Answer

To prevent reflux of urine into the bladder

Answer

To monitor urine output accurately

Answer

To facilitate irrigation procedures

Question 20

Choose the type of catheter designed for administering fluids and medications directly into a vein:

Accepted Answer

Central venous catheter

Answer

Foley catheter

Answer

Urethral catheter

Answer

Suprapubic catheter

Question 21

During catheterization procedures, why is it essential to maintain a sterile technique?

Accepted Answer

Prevent infection

Answer

Ensure patient comfort

Answer

Guarantee accurate placement

Answer

Minimize discomfort

Question 22

If a catheter becomes dislodged, what is the recommended action?

Accepted Answer

Notify the healthcare provider

Answer

Reinsert the catheter immediately

Answer

Attempt to reposition the catheter yourself

Answer

Clamp the catheter and wait for further instructions

Question 23

Which of the following is an indication for urinary catheterization?

Accepted Answer

Urinary retention

Answer

Hypotension

Answer

Diarrhea

Answer

Nausea

Question 24

What is the primary nursing responsibility when a patient has a urinary catheter in place?

Accepted Answer

Maintain a closed drainage system

Answer

Irrigate the catheter daily

Answer

Administer antibiotics as prescribed

Question 25

What is the recommended frequency for changing an indwelling urinary catheter?

Accepted Answer

Every 4-6 weeks

Answer

Every day

Answer

Every week

Answer

Every 3 months

Question 26

Which of the following is a contraindication to peripheral venous catheterization?

Accepted Answer

Thrombophlebitis in the intended site

Answer

Allergy to latex

Answer

Hypotension

Question 27

What size needle is typically used for peripheral venous catheterization?

Accepted Answer

18-20 gauge

Answer

14-16 gauge

Answer

26-28 gauge

Answer

22-24 gauge

Question 28

Which of the following is **not** an indication for catheterization?

Accepted Answer

To relieve pain

Answer

To drain urine from the bladder

Answer

To measure urine output

Question 29

Which step in preparing for catheterization is the most important?

Accepted Answer

Gathering the necessary equipment and ensuring it is sterile

Answer

Explaining the procedure to the patient

Answer

Assessing the patient's vital signs

Answer

Positioning the patient comfortably

Question 30

What is the recommended insertion angle for a straight catheter in males to avoid urethral trauma?

Accepted Answer

15-30 degrees

Answer

45-60 degrees

Answer

75-90 degrees

Answer

90-120 degrees

Question 31

Which of the following is a common complication associated with catheterization?

Accepted Answer

Urinary tract infection (UTI)

Answer

Myocardial infarction

Answer

Pulmonary embolism

Answer

Hypotension

Question 32

As part of Foley catheter care, what should be done first?

Accepted Answer

Emptying the collection bag

Answer

Changing the catheter dressing

Answer

Irrigating the catheter

Answer

Assessing the patient's urine output

Question 33

Which patient teaching point is crucial for preventing catheter-associated problems?

Accepted Answer

Maintain adequate fluid intake

Answer

Apply a heating pad to the catheter site

Answer

Avoid lifting heavy objects

Answer

Take antibiotics as prescribed

Question 34

What is the primary purpose of a retention balloon on a Foley catheter?

Accepted Answer

To prevent accidental removal of the catheter

Answer

To irrigate the urethra

Answer

To inflate the bladder for drainage

Answer

To measure residual urine

Question 35

Which type of catheter is inserted through the urethra into the urinary bladder, allowing for drainage of urine?

Accepted Answer

Foley catheter

Answer

Central venous catheter, placed in a large vein for medication administration or blood sampling

Answer

PICC line, a peripherally inserted central catheter used for long-term intravenous therapy

Answer

Nasogastric tube, used for feeding or suctioning

Question 36

What is the primary reason for urinary catheterization in hospitalized patients?

Accepted Answer

Urinary retention, when the patient is unable to empty their bladder spontaneously

Answer

Medication administration, although some medications can be given through a catheter, it's not the primary indication

Answer

Blood transfusion, which is typically done through a peripheral IV

Answer

Gastric decompression, to relieve pressure in the stomach

Question 37

In female patients, which method is generally recommended for catheter insertion to minimize discomfort and prevent infection?

Accepted Answer

Straight insertion with aseptic technique, ensuring sterile conditions and gentle insertion

Answer

Guided insertion using a catheterization guide, which may be helpful in certain complex cases but is not the preferred method for routine catheterization

Answer

Seldinger technique, used primarily for vascular access and not commonly for urinary catheterization

Answer

Blind insertion, which is discouraged due to increased risk of trauma and infection

Question 38

For adult patients undergoing urinary catheterization, what is the typical size of the catheter used?

Accepted Answer

14-16 Fr (French), representing the diameter of the catheter in millimeters

Answer

18-20 Fr, an intermediate size sometimes used

Answer

22-24 Fr, larger size used in specific cases such as post-operative care or high urine output

Answer

8-10 Fr, typically used for pediatric patients or specific medical conditions

Question 39

Which of the following is a potential complication associated with indwelling urinary catheterization?

Accepted Answer

Urinary tract infection (UTI), caused by bacteria entering the urinary system through the catheter

Answer

Subcutaneous emphysema, air trapped under the skin, not typically a complication of urinary catheterization

Answer

Pneumothorax, collapsed lung, not a complication related to urinary catheterization

Answer

Femoral artery puncture, an infrequent complication associated with vascular catheterization, not urinary catheterization

Question 40

When using a Foley catheter, how frequently should the catheter bag be drained to prevent overdistention and potential complications?

Accepted Answer

Every 8 hours or when half full, to ensure proper drainage and reduce the risk of infection

Answer

Only when the patient voids, which is not a reliable indicator for drainage

Answer

Every 4 hours, which may be unnecessarily frequent in most cases

Answer

Every 12 hours, which may be too infrequent and lead to overdistention

Question 41

Which nursing intervention is recommended to help prevent catheter-associated urinary tract infections?

Accepted Answer

Maintain a closed drainage system, preventing contamination of the catheter and urine

Answer

Irrigate the catheter with sterile saline, which is not routinely recommended and may increase the risk of infection

Answer

Instill antibiotics into the catheter, which is typically only done in specific cases with high risk of infection

Answer

Encourage the patient to drink plenty of fluids, although important for overall health, it does not directly prevent catheter-associated UTIs

Question 42

During catheter insertion, which type of lubricant is appropriate to use to minimize trauma and discomfort?

Accepted Answer

Water-based lubricant, designed for medical procedures and less likely to cause irritation

Answer

Alcohol-based lubricant, which can be drying and potentially irritating

Answer

Oil-based lubricant, also not recommended for catheter insertion due to potential interference with catheter materials

Answer

Petroleum jelly, not recommended for use with catheters as it can interfere with adhesion and increase infection risk

Question 43

If a catheter becomes obstructed, which of the following is a common sign or symptom?

Accepted Answer

Distended catheter bag with little or no urine output, indicating blockage in the catheter or drainage system

Answer

Bloody urine, which can be a sign of various conditions and not specifically indicative of catheter obstruction

Answer

Fever, which may be a sign of infection but not necessarily a direct indication of catheter obstruction

Question 44

To minimize the risk of complications, what is the recommended duration for indwelling urinary catheterization?

Accepted Answer

As short as possible, typically less than 14 days, to reduce the risk of infection and other complications

Answer

Until the patient regains full bladder control, which can vary widely and may not be a reliable indicator for catheter removal

Answer

Indefinitely, which is strongly discouraged as long-term catheterization significantly increases the risk of complications

Answer

Up to 30 days, which is generally not recommended due to increased risk of complications with prolonged catheterization

Question 45

Which type of catheter is primarily used to drain urine from the bladder?

Accepted Answer

Foley catheter

Answer

Central venous catheter

Answer

Nasogastric catheter

Answer

Arterial catheter

Question 46

For catheter insertion, which patient position allows for optimal visualization of the urethra?

Accepted Answer

Lithotomy position

Answer

Fowler's position

Answer

Prone position

Answer

Semi-Fowler's position

Question 47

What is the primary purpose of catheterization?

Accepted Answer

To facilitate the elimination of urine from the bladder

Answer

To monitor vital signs

Answer

To administer medications

Question 48

Which of the following is a potential complication associated with catheterization?

Accepted Answer

Urinary tract infection

Answer

Pulmonary embolism

Answer

Hypertension

Answer

Stroke

Question 49

Which of the following should be included when educating patients after catheterization?

Accepted Answer

Signs and symptoms of a urinary tract infection

Answer

Administering insulin injections

Answer

Importance of deep breathing exercises

Answer

Monitoring blood glucose levels

Question 50

To properly disinfect the insertion site prior to catheterization, which of the following techniques should be used?

Accepted Answer

Use sterile gauze with antiseptic solution, cleansing in a circular motion from the center outwards

Answer

Use soap and water to wash and pat the area dry

Answer

Apply antiseptic ointment directly to the insertion site

Question 51

When selecting a catheter size, which factors should be considered?

Accepted Answer

Patient's urethral diameter and intended purpose of catheterization

Answer

Patient's gender and age

Answer

Type of tubing used