The nurse is having difficulty inserting a urinary catheter in an ...

[tth]

The nurse is having difficulty inserting a urinary catheter in an older female patient. Which position should the nurse use to help facilitate the insertion of the catheter?
 
  1. Side-lying lifting up the buttock
  2. Supine with the bed flat, legs bent and apart
  3. Supine with the HOB elevated at 30 degrees
  4. Supine with the head of bed (HOB) elevated at 90 degrees

Question 2

Because of reduced sensitivity of the baroreceptors in the older adult who is also on a diuretic, the nurse instructs that the patient should
 
  A) walk for 20 minutes a day.
  B) reduce sodium in the diet.
  C) sit on side of bed before standing.
  D) use a walker for all ambulation.

[brittanywood]

Answer to Question 1

1
Rationale: Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position lifting up the buttock is an alternative that provides better visualization of the urinary meatus.

Answer to Question 2

C