The nurse anticipates a suprapubic catheter for which patient? ...

[londonang]

The nurse anticipates a suprapubic catheter for which patient?
 
  a. A patient with recent prostatectomy
  b. A patient with a urethral stricture
  c. A patient with an appendectomy
  d. A patient with menopause

Question 2

To reduce patient discomfort during a closed intermittent catheter irrigation, what should the nurse do?
 
  a. Use room temperature irrigation solution.
  b. Administer the solution as quickly as possible.
  c. Allow the solution to sit in the bladder for at least 1 hour.
  d. Raise the bag of the irrigation solution at least 12 inches above the bladder.

[popopong]

Answer to Question 1

ANS: B
A patient with a urethral stricture is most likely to have a suprapubic catheter. Suprapubic catheters are placed when there is blockage of the urethra (e.g., enlarged prostate, urethral stricture, after urological surgery). A patient with a recent prostatectomy indicates the enlarged prostate was removed and would not need a suprapubic catheter; however, continuous bladder irrigation may be needed. Appendectomies and menopause do not require a suprapubic catheter.

Answer to Question 2

ANS: A
To reduce discomfort use room temperature solution. Using cold solutions and instilling solutions too quickly can cause discomfort. During an irrigation, the solution does not sit in the bladder; it is allowed to drain. A container is not raised about the bladder 12 inches when performing a closed intermittent catheter irrigation.