Question 1

Which of the following nursing interventions to prevent trauma to the urethra, is appropriate care for a client with a retention catheter?

Accepted Answer

Retape the catheter to the thigh is an appropriate intervention to prevent trauma to the urethra by ensuring the catheter is securely positioned, reducing the risk of pulling or displacement that could cause injury.

Question 2

The nurse is selecting a urinary catheter for a female client who will be catheterised long-term. Factors influencing the decision will be:

Accepted Answer

Allergies of the client, gender, and size of the catheter and balloon are all important factors that should be taken into consideration when selecting a urinary catheter for a long-term female client. Allergies of the client will determine which type of material the catheter should be made of in order to prevent potential allergic reactions. Gender is important because female urethras are shorter and more narrow than male urethras, therefore requiring a smaller catheter size. The size of the catheter and balloon will be important in reducing discomfort and preventing potential complications such as tissue damage or infection. Therefore, all of these factors should be considered when selecting a urinary catheter for a female client who will be catheterised long-term.

Question 3

Which nursing intervention would be appropriate for an elderly male client who has returned from having a transurethral resection of the prostate (TURP) with a three-way indwelling catheter and now tells the nurse he has to urinate?

Accepted Answer

Irrigating the catheter is appropriate because the sensation of needing to urinate often results from bladder spasms or obstruction in the catheter, which can be relieved by irrigation to ensure patency and remove any clots or debris.

Question 4

Which of the following returned demonstrations by the client demonstrates she understands correct technique for caring for an indwelling catheter?

Accepted Answer

Taking a shower each day is important for cleaning the area around the indwelling catheter and preventing infections. Refusing to drink adequate amounts of fluids may lead to dehydration and possible complications with the catheter. Hanging the drainage bag on the towel rod is not necessarily incorrect, but it is important to ensure it is positioned correctly and not pulling on the catheter. Empting the drainage bag only once a day may not be frequent enough and can lead to potential complications.

Quiz 50: Urinary Elimination

Which of the following nursing interventions to prevent trauma to the urethra, is appropriate care for a client with a retention catheter?

The nurse is selecting a urinary catheter for a female client who will be catheterised long-term. Factors influencing the decision will be:

Which nursing intervention would be appropriate for an elderly male client who has returned from having a transurethral resection of the prostate (TURP) with a three-way indwelling catheter and now tells the nurse he has to urinate?

Which of the following returned demonstrations by the client demonstrates she understands correct technique for caring for an indwelling catheter?