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BP, Caths, Ostomies
| Question | Answer |
|---|---|
| What is the critical skill in the "assisting the client with use of a bedpan" skill? | There is none! Yeah! |
| What is a fracture pan? | Small pan that is used if the patient has difficulty moving |
| What is a urinary catheter? | tube that drains urine from the bladder |
| Name the 4 types of catheters | intermittent, foley, suprapubic, and condom |
| Intermittent catheter | inserted to empty the bladder and then immediately removed |
| Foley catheter | indwelling catheter |
| Suprapubic catheter | inserted surgically through the abdominal wall directly into the bladder |
| Condom catheter | external catheter applied over the penis and attached to a drainage bag |
| What holds the foley catheter in place? | balloon |
| Which catheter is non-invasive? | condom cath |
| How often are intermittent caths done during the day? | 5-8 times per day |
| What is the most common complication with catheter use? | UTI |
| Minimally, how often should the meatus be washed? | daily |
| Why does the catheter tubing need to be secured? | to prevent strain on the catheter and tubing, prevent it from being accidentally dislodged |
| Why does the catheter tubing need to be secured? | to prevent strain on the catheter and tubing, prevent it from being accidentally dislodged |
| The drainage bag should always be ___________ the level of the bladder. | Below |
| What type of catheter bag would be used if hourly urine documentation was needed? | a drainage bag with a urimeter |
| How often is cath care performed? | every 8 hours |
| What is a leg bag? | Collects urine and is held to the patient's leg instead of in a typical bag |
| What is the critical skill in cath care? | Hold the catheter at the meatus, cleans at least 4 inches of the catheter, moves in one direction, uses a clean area of the cloth for each stroke, rinses using the same technique |
| What is an ostomy? | surgical procedure that creates an opening called a stoma |
| What are the 3 types of ostomies that we learned about? | urostomy, colostomy, ileostomy |
| Urostomy | drains urine by bringing the ureter to the surface of the abdomen |
| colostomy | drains stool by bringing a section of the colon to the surface of the abdomen |
| ileostomy | drains stool by bringing a section of the ileum to the surface of the abdomen |
| Why would the stool be different depending on the location of the ostomy? | The longer the stool remains in the colon, the more water is absorbed. The closer to the small intestine, the more watery the stool will be. The closer to the rectum, the more formed the stool will be. |
| What would a dry stoma indicate? | Dehydration |
| What would a blue or black stoma indicate? | Problems with blood supply. Necrotic tissue |
| Are CNA's allowed to insert sterile catheters in the patient's bladder? | No, that is a nursing function. CNA's are allowed to REMOVE the catheters, but not insert them. |