An older patient with diabetes is diagnosed with a flaccid ...

[jparksx]

An older patient with diabetes is diagnosed with a flaccid bladder. What should be included in the care of this patient?
 
  1. instruction on the Cred method of bladder emptying
  2. the importance of maintaining alkaline urine
  3. instruction on the use of anticholinergic medications
  4. reminder to restrict fluids

Question 2

While being catheterized for urinary retention, a patient becomes diaphoretic and pale. What should the nurse do to help this patient?
 
  1. The nurse should clamp the catheter after draining 500 mL of urine.
  2. No action is needed, as this situation is transient.
  3. The nurse should remove the urinary catheter.
  4. The nurse should provide the patient with fluids.

[peter]

Answer to Question 1

Correct Answer: 1
The Cred method (applying pressure to the suprapubic region with the fingers of one or both hands), manual pressure on the abdomen, and the Valsalva maneuver (bearing down while holding one's breath) promote bladder emptying for the patient with a spastic or flaccid bladder. Altering the pH of the urine, taking anticholinergics, or restricting fluids would not help the patient adapt to the neurogenic issue that is causing flaccid bladder.

Answer to Question 2

Correct Answer: 1
Some patients may experience a vasovagal response and become pale, sweaty and hypotensive if the bladder is rapidly drained. The nurse should be aware that it is a possible response in some patients and be able to recognize it and take the appropriate action. Draining 500 mL increments and clamping the catheter for 5 to 10 minutes between increments may prevent this response. Removing the urinary catheter or replacing fluids will not address the symptoms.

[jparksx]

TYSM

[ricroger]

Excellent