Nurse-initiated Urinary Catheter Removal (Quiz)

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| By Joe Powers
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Joe Powers
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Quizzes Created: 8 | Total Attempts: 8,944
Questions: 10 | Attempts: 2,331

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Nurse-initiated Urinary Catheter Removal (Quiz) - 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

    Correct Answer
    B. No
    Explanation
    Rationale: No. The indication “strict I&O” can only be applied to critically ill patients in critical care ICU.

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  • 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

    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.

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  • 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

    Correct Answer
    B. No
    Explanation
    Rationale: No. The indication for urinary catheter is a Stage III or IV pressure ulcer with incontinence.

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  • 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

    Correct Answer
    B. B. Urinary catheter was placed by urologist
    Explanation
    Rationale: b. Urinary catheter was placed by urologist. If urinary catheter was placed by a urologist, DO NOT REMOVE without a MD/NP order.

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  • 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

    Correct Answer
    D. D. Bed bound and incontinent
    Explanation
    Rationale: d. Bed bound and incontinent. These are not indications for a urinary catheter. Please see protocol for appropriate indications.

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  • 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

    Correct Answer
    B. No
    Explanation
    Rationale: No. Immobilization pre-surgery with fracture/trauma has been ruled out and the urinary catheter is no longer indicated.

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  • 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

    Correct Answer
    A. Every shift
    Explanation
    Rationale: a. Every shift. The patient’s need for a urinary catheter should be evaluated at least once a shift.

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  • 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

    Correct Answer
    E. E. All of the above
    Explanation
    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.

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  • 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

    Correct Answer
    A. A. Notify the MD/NP
    Explanation
    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.

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  • 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

    Correct Answer
    A. True
    Explanation
    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).

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  • Current Version
  • Mar 18, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Feb 25, 2014
    Quiz Created by
    Joe Powers
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