Nurse-initiated Urinary Catheter Removal (Quiz)

10 Questions | Total Attempts: 1132

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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.


Questions and Answers
  • 1. 
    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

  • 2. 
    1. 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

  • 3. 
    1. 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

  • 4. 
    1. 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

  • 5. 
    1. 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

  • 6. 
    1. 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

  • 7. 
    1. 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

  • 8. 
    1. 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

  • 9. 
    1. 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

  • 10. 
    1. 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

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