Chapter 12 Urologic Procedures - Test

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1

The most common nosocomial infections are

A) Bloodborne infections
B) Respiratory tract infections
C) Wound infections
D) Urinary tract infections

D) Urinary tract infections

2

The best way to prevent urinary tract infections during catheterization of the urinary bladder is

A) By maintaining strict surgical aseptic technique
B) By increasing the patient’s fluid intake
C) By requesting that the physician initiate antimicrobial therapy
D) By keeping the patient isolated

A) By maintaining strict surgical aseptic technique

3

Which of the following should occur last when a retention catheter is inserted?

A) Prepare the lubricant
B) insert the catheter
C) tub gently to seat the balloon against the meatus
D) inflate the balloon on the cuff of the catheter
E) cleanse the meatus with antiseptic solution

C) tub gently to seat the balloon against the meatus

4

Which of the following should occur first when a retention catheter is inserted?

A) Drape the patient with the fenestrated drape
B) Cleanse the meatus with antiseptic solution
C) Put on sterile gloves
D) Inflate the balloon on the cuff of the catheter
E) Insert the catheter
F) Prepare the lubricant
G) Tug gently to seat the balloon against the meatus

C) Put on sterile gloves

5

What is the most important consideration when removing a retention catheter?

to deflate the baloon

6

When transporting a patient with a retention catheter and closed-system drainage in place, which of the following must be observed?

A) Clamp the drainage tube if it must be raised above the hip level
B) Hang the drainage bag alongside the patient below the hip level
C) Raise the bag quickly above the legs
D) Coil the extra tubing at the level of the patient’s hip

C) Raise the bag quickly above the legs

7

True or False

The radiographer should empty the drainage bag if he or she sees that it is full.

False

8

Mr. Sherman Alonzo has been admitted to the surgery suite for retrograde cystography. Mr. Alonzo was paralyzed several years ago in a motorcross accident and is recently experiencing some emptying difficulties. While the contrast agent is being instilled and halfway through the study, he begins to complain of a sudden headache and nausea. He begins to move and moan from the pain. What is the best response?

A) Take the patient’s vital signs
B) Tell the patient that you need one more image and to hold still
C) Assess the patient for hives and call the nurse
D) Stop the procedure and allow the surgery staff to take over

D) Stop the procedure and allow the surgery staff to take over

9

During cystography, what is the radiographer’s role? (More than one may apply)

A) Perform vital signs to assess the patient’s stability
B) Assure that the radiographic equipment is working
C) Make sure that the informed consent has been signed and is with the radiographic request
D) Assist the fluoroscopy of the patient
E) Provide after care instructions to the patient
F) all of the above

F) all of the above

10

Which of the following procedures is performed to visualize the proximal ureters and the kidneys but will not demonstrate function?

A) Cystography
B) Cystourethrography
C) Retrograde pyelography

C) Retrograde pyelography

11

List two alternative methods of urinary drainage.

condom catheter
suprapubic catheter

12

Why is the patient instructed to increase fluid intake for 24 hours following any study that involves contrast media in the bladder?

to help flush any remaining contrast agent from the bladder

13

As a patient exhales, the ________ relaxes, allowing a catheter to pass unobstructed into the bladder.

sphincter

14

Never place a drainage bag on a patient's lap or abdomen during transport because this may cause a _____ of urine into the bladder.

reflux

15

True or False?

The radiographer will know that the catheter has entered the bladder of the patient because urine will start to flow in the tube when the catheter is in the bladder

True

16

_____ pyelography is a radiographic technique performed to visualize the proximal ureters and the kidneys after injection of an iodinated contrast agent.

Retrograde

17

Backwards flow; usually unnatural as when urine travels back up the ureter

A) Ureteral catheter
B) Incontinence
C) Lithotomy position
D) void
E) reflux

E) reflux

18

The action of emptying urine from the bladder

A) Ureteral catheter
B) Incontinence
C) Lithotomy position
D) void
E) reflux

D) void

19

A firm catheter inserted into the ureter attached to a cystoscope

A) Ureteral catheter
B) Incontinence
C) Lithotomy position
D) void
E) reflux

A) Ureteral catheter

20

The inability to refrain from yielding to the normal impulse to defecate or urinate

A) Ureteral catheter
B) Incontinence
C) Lithotomy position
D) void
E) reflux

B) Incontinence

21

A posture in which knees are flexed and thighs are abducted and rotated externally

A) Ureteral catheter
B) Incontinence
C) Lithotomy position
D) void
E) reflux

C) Lithotomy position

22

An instrument used for examining the urinary bladder and ureters that is equipped with a light, a viewing obturator, and a lumen for passing catheters

A) Cystography
B) Perineal
C) Sphincter
D) Cystoscope
E) Penoscrotal junction

D) Cystoscope

23

Radiographic imaging of the urinary bladder

A) Cystography
B) Perineal
C) Sphincter
D) Cystoscope
E) Penoscrotal junction

A) Cystography

24

Pertaining to the area between the anus and the scrotum in the male and the vulva and the anus in the female

A) Cystography
B) Perineal
C) Sphincter
D) Cystoscope
E) Penoscrotal junction

B) Perineal

25

A circular bond of muscle constricting an orifice, which contracts to close the opening

A) Cystography
B) Perineal
C) Sphincter
D) Cystoscope
E) Penoscrotal junction

C) Sphincter

26

The area of the male penis that meets the scrotum

A) Cystography
B) Perineal
C) Sphincter
D) Cystoscope
E) Penoscrotal junction

E) Penoscrotal junction