Nurse-initiated Urinary Catheter Removal (Quiz)
•Patients will be assessed for the indicated criteria for continuing the urinary catheter use by the Registered Nurse (RN) assigned to the patient’s care. If a criterion for catheterization is not met, the RN may remove the catheter without a physician order.
- 1.
- A patient is transferred from ICU to a Med/Surg unit with a urinary catheter still in place. The indication for the urinary catheter is documented as “ICU ONLY: Strict I&O”. Does this still apply to the patient after the transfer to Med/Surg?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
Rationale: No. The indication “strict I&O” can only be applied to critically ill patients in critical care ICU.Rate this question:
- 2.
- A patient’s urinary catheter was removed after surgery. The patient hadn’t voided in 8hrs, so the nurse bladder scans the patient. The bladder scan shows 950mL. The nurse should:
- A.
A. Notify the MD/NP and ask for re-insertion of urinary catheter
- B.
B. Notify the MD/NP and await for orders
- C.
C. Initiate bladder protocol (see policy)
- D.
D. Re-scan the patient’s bladder in an hour
Correct Answer
C. C. Initiate bladder protocol (see policy)Explanation
Rationale: C. Initiate bladder protocol. It is not necessary to call the MD/NP anymore to obtain order for bladder protocol, as it may be initiated by the RN when bladder scan amount is greater than or equal to 240mL.Rate this question:
- 3.
- A patient is admitted with a Stage II pressure ulcer on their buttocks. Does this patient meet criteria for a urinary catheter?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
Rationale: No. The indication for urinary catheter is a Stage III or IV pressure ulcer with incontinence.Rate this question:
- 4.
- When is it NOT appropriate to discontinue a urinary catheter without a MD/NP order:
- A.
A. Urinary catheter was placed in ICU
- B.
B. Urinary catheter was placed by urologist
- C.
C. Urinary catheter was placed in ED
- D.
D. It is never appropriate to discontinue urinary catheter without a MD/NP order
Correct Answer
B. B. Urinary catheter was placed by urologistExplanation
Rationale: b. Urinary catheter was placed by urologist. If urinary catheter was placed by a urologist, DO NOT REMOVE without a MD/NP order.Rate this question:
- 5.
- Which of the following is NOT an indication for a urinary catheter?
- A.
A. Stage III or IV pressure ulcer with incontinence
- B.
B. Neurogenic bladder
- C.
C. Chronic history of indwelling suprapubic catheter
- D.
D. Bed bound and incontinent
- E.
E. None of the above
Correct Answer
D. D. Bed bound and incontinentExplanation
Rationale: d. Bed bound and incontinent. These are not indications for a urinary catheter. Please see protocol for appropriate indications.Rate this question:
- 6.
- A patient is admitted to the hospital for a fall. A urinary catheter was placed in the ED for immobilization/pre-surgery. The x-ray reveals that there is no fracture and surgery is not required. Is there still an indication for the urinary catheter?
- A.
Yes
- B.
No
Correct Answer
B. NoExplanation
Rationale: No. Immobilization pre-surgery with fracture/trauma has been ruled out and the urinary catheter is no longer indicated.Rate this question:
- 7.
- How often should you evaluate the need of your patient’s urinary catheter?
- A.
Every shift
- B.
Every day
- C.
Every other day
- D.
Once a week
Correct Answer
A. Every shiftExplanation
Rationale: a. Every shift. The patient’s need for a urinary catheter should be evaluated at least once a shift.Rate this question:
- 8.
- Which patient meets an indication for a urinary catheter?
- A.
A. Patient in ICU admitted for septic shock
- B.
B. Patient with a hip fracture going to surgery
- C.
C. Patient who had surgery
- D.
D. Patient on end of life care
- E.
E. All of the above
Correct Answer
E. E. All of the aboveExplanation
Rationale: e. All of the above. A patient admitted for septic shock would require strict I&O in the ICU, which is appropriate. A patient immobilized for a hip fracture/trauma is also indicated. Post-operative patients with catheters are also acceptable. And a patient on end of life care meets criteria for a urinary catheter.Rate this question:
- 9.
- If a patient’s urine output is less than 240mL in 8 hours, what is the most appropriate thing to do?
- A.
A. Notify the MD/NP
- B.
B. Monitor and endorse to next shift
- C.
C. Encourage fluids for patient
- D.
D. Do nothing because urine output < 240mL is normal
Correct Answer
A. A. Notify the MD/NPExplanation
Rationale: a. Notify the MD/NP. Urine output < 240mL in 8 hours is NOT NORMAL and could indicate a more serious condition that the MD/NP should be made aware of immediately.Rate this question:
- 10.
- If a criterion for catherterization is not met for a patient, the RN may remove the urinary catheter without a MD/NP order.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
Rationale: a. True. As part of the Nurse-Initiated Urinary Catheter Removal Standardized Procedure, a RN will assess the patient’s indication for urinary catheter using the criteria. If an appropriate indication is NOT MET, the RN may remove the catheter without a MD/NP order (except post-op patients and patients undergoing urological treatment).Rate this question:
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Current Version
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Mar 18, 2023Quiz Edited by
ProProfs Editorial Team -
Feb 25, 2014Quiz Created by
Joe Powers
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