The nurse is caring for a client who requires long-term ...

[nummyann]

The nurse is caring for a client who requires long-term catheterization who is allergic to latex. Which catheter would the nurse choose to insert?
 
  1. PVC catheter
  2. Plastic catheter
  3. Silicone catheter
  4. Latex catheter

Question 2

The nurse is caring for an older adult client with a medical diagnosis of benign prostatic hyperplasia resulting in urinary retention.
 
  When attempting to pass the catheter, the nurse encounters an obstruction, and cannot get the catheter to pass beyond it. Which action by the nurse is the most appropriate?
 
  1. Documenting that catheterization is not possible, and notifying the health care provider
  2. Attempting to pass a Coud catheter
  3. Attempting to push the catheter past the obstruction
  4. Applying ice to the base of the penis, and attempting to pass the catheter in 30 minutes

[blazinlyss]

Answer to Question 1

Correct Answer: 3

Silicone catheters are preferable for long-term use because they create less encrustation at the urethral meatus. Plastic catheters should only be used for short periods of 1 week or less because they are inflexible. PVC catheters can be used for 1 week because they soften at body temperature and conform to the urethra. Latex would be contraindicated because the client is allergic to latex.

Answer to Question 2

Correct Answer: 2

The nurse would attempt to pass a Coud catheter, which has a curved tip that is somewhat stiffer and can be better controlled during insertion, with passage often less traumatic. Merely documenting that the catheter cannot be passed causes the client to continue to experience the discomfort of bladder distention until the health care provider arrives. Pushing the catheter past the obstruction could result in serious trauma. Applying ice would not reduce the obstruction, and would most likely be very uncomfortable for the client.

[nummyann]

Thank you

[blazinlyss]

Happy to help you