1.
Appropriate insertion follows an aseptic technique, which includes using which of the following?
Correct Answer
D. All of the above
Explanation
The appropriate insertion follows an aseptic technique, which means that sterile conditions are maintained to prevent infection. This includes using sterile gloves to ensure that no bacteria or contaminants come into contact with the insertion site. Sterile drapes are used to create a sterile field around the area, preventing any contamination from surrounding surfaces. Additionally, a sterile skin antiseptic is used to cleanse the skin and kill any bacteria present before the insertion. Therefore, all of the options mentioned (sterile gloves, sterile drapes, and sterile skin antiseptic) are necessary to maintain aseptic technique during insertion.
2.
Urinary catheters must be inserted whenever a patient is incontinent of urine.
Correct Answer
B. False
Explanation
The statement is false because urinary catheters should not be inserted whenever a patient is incontinent of urine. Incontinence of urine does not automatically warrant the use of a catheter. Catheterization should only be considered if other interventions, such as bladder training or medication, have been ineffective in managing the incontinence. Catheters carry risks of infection and other complications, so they should only be used when necessary and under appropriate medical supervision.
3.
Hand hygiene only needs to be performed after any manipulation of the catheter site or apparatus?
Correct Answer
B. False
Explanation
Hand hygiene needs to be performed before and after any manipulation of the catheter site or apparatus. This is because before touching the catheter or any related equipment, proper hand hygiene helps to prevent the transfer of harmful microorganisms to the patient. After manipulation, hand hygiene is necessary to remove any potential contaminants that may have been introduced during the procedure. Therefore, the statement that hand hygiene only needs to be performed after manipulation of the catheter site or apparatus is false.
4.
Indwelling catheters are designed to:
Correct Answer
D. Is a foley catheter that is designed to rest securely in the bladder for a limited amount of time
Explanation
Indwelling catheters, also known as foley catheters, are designed to rest securely in the bladder for a limited amount of time. They have a balloon that is inflated once the catheter is inserted into the bladder, which helps to keep it in place. These catheters are commonly used for patients who are unable to urinate on their own or have difficulty controlling their bladder. They allow for continuous drainage of urine and are typically used for short-term management of urinary retention or during surgical procedures.
5.
It is necessary to test the balloon before the insertion of the urinary catheter.
Correct Answer
B. False
Explanation
Testing the balloon before the insertion of the urinary catheter is not necessary. The balloon is part of the catheter and is inflated once the catheter is inserted into the patient's bladder. Testing the balloon beforehand would serve no purpose and is not a standard procedure.
6.
The best possible way to maintain a sterile technique is to use all of the items in the catheterization tray when inserting a catheter.
Correct Answer
A. True
Explanation
Using all of the items in the catheterization tray when inserting a catheter helps to maintain a sterile technique because each item in the tray is specifically designed to prevent contamination and promote cleanliness during the procedure. By using all of the items, such as gloves, drapes, antiseptic solution, and sterile catheter, the risk of introducing bacteria or other pathogens into the urinary tract is minimized. This ensures that the catheterization procedure is performed in a sterile environment, reducing the likelihood of infection for the patient.
7.
The securement device should be used in order to properly secure the urinary catheter.
Correct Answer
A. True
Explanation
The securement device is necessary to ensure that the urinary catheter is properly secured. This helps to prevent accidental dislodgement or movement of the catheter, which can lead to complications such as infection or leakage. By using a securement device, healthcare professionals can ensure that the catheter remains in place and functions effectively. Therefore, the statement is true.
8.
Aseptic refers to:
Correct Answer
C. Being free of pathogenic microorganisms
Explanation
Aseptic refers to being free of pathogenic microorganisms. This means that aseptic conditions or practices are used to prevent the introduction or spread of harmful microorganisms in a specific environment, such as a medical setting or a food processing facility. Aseptic techniques are commonly used in healthcare settings to reduce the risk of infections and ensure the safety of patients.
9.
Urinary catheters are not useful with a second-time patient.
Correct Answer
B. False
Explanation
The statement is false because urinary catheters can still be useful with a second-time patient. There may be various reasons why a patient may require a urinary catheter again, such as urinary retention or the need for accurate measurement of urine output. The decision to use a urinary catheter should be based on the patient's specific medical condition and needs, rather than the number of times they have previously used a catheter.
10.
A patient must meet which of the following criteria in order to receive a foley catheter:
Correct Answer
D. Both B and C are correct.
Explanation
A patient must meet both criteria B and C in order to receive a foley catheter. This means that the patient must have a urinary obstruction and be hemodynamically unstable. The presence of a urinary obstruction indicates that the patient is unable to empty their bladder properly, which may require the use of a foley catheter to drain the urine. Being hemodynamically unstable suggests that the patient's blood pressure and circulation are compromised, which may also necessitate the use of a foley catheter for monitoring and management of urinary output.