A client with urine retention due to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of urinary catheter is most suitable for a client with an obstructed urethra?
Straight catheter.
Indwelling urethral catheter.
Intermittent urethral catheter.
Suprapubic catheter.
The Correct Answer is D
Choice A rationale:
Straight catheters are single-use catheters that are inserted into the bladder to drain urine and then immediately removed. They are not suitable for long-term use in clients with obstructed urethras because they would need to be inserted repeatedly, causing discomfort and potential trauma to the urethral tissues. Additionally, the obstruction itself would make it difficult or impossible to insert a straight catheter.
Choice B rationale:
Indwelling urethral catheters, also known as Foley catheters, are inserted into the bladder and remain in place for a period of time. They are typically used for clients who cannot void on their own or who require continuous bladder drainage. However, they are not the best option for clients with obstructed urethras for the following reasons:
The presence of the catheter within the urethra can further irritate or damage the already obstructed tissues. The balloon that holds the catheter in place could potentially worsen the obstruction.
The risk of urinary tract infections (UTIs) is increased with indwelling catheters.
Choice C rationale:
Intermittent urethral catheters are inserted into the bladder to drain urine and then removed. They are typically used by clients who can self-catheterize several times a day. However, they are not suitable for clients with complete prostatic obstruction, as the obstruction would make it difficult or impossible to insert the catheter.
Choice D rationale:
Suprapubic catheters are inserted directly into the bladder through a small incision in the abdomen, bypassing the urethra entirely. This makes them the most suitable option for clients with obstructed urethras, as it eliminates the need to pass a catheter through the obstructed area. Suprapubic catheters offer several advantages in this situation:
They avoid further irritation or damage to the urethral tissues.
They provide a more comfortable and convenient option for long-term bladder drainage.
They may reduce the risk of UTIs compared to indwelling urethral catheters.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Thrombophlebitis is a condition characterized by inflammation and blood clot formation within a vein. It commonly occurs in the legs, particularly after surgery or periods of prolonged immobility.
Anticoagulant medications work by preventing the formation of blood clots or by slowing their growth. They do not dissolve existing clots, but they can help prevent the clot from enlarging or breaking off and traveling to other parts of the body, such as the lungs (causing a pulmonary embolism).
Common anticoagulant medications used to treat thrombophlebitis include:
Heparin: This is a fast-acting injectable medication often used in the initial treatment of thrombophlebitis. Warfarin: This is an oral medication that takes a few days to start working but can be used for long-term treatment.
Direct oral anticoagulants (DOACs): These are newer oral medications that have a more predictable effect and fewer interactions with food and other medications compared to warfarin.
The choice of anticoagulant medication depends on several factors, including the severity of the thrombophlebitis, the patient's overall health, and any other medications they are taking.
Choice B rationale:
Antihistamine medications are used to treat allergic reactions. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis.
Choice C rationale:
Antibiotic medications are used to treat infections caused by bacteria. They do not have any effect on blood clots and would not be effective in treating thrombophlebitis unless there is a concurrent bacterial infection.
Choice D rationale:
Antigens are substances that trigger an immune response in the body. They are not used to treat thrombophlebitis.
Correct Answer is A
Explanation
Choice A rationale:
Immobility: A bed-bound client is at the highest risk for pressure ulcer development due to prolonged pressure on bony prominences. The lack of movement prevents adequate blood flow to the tissues, leading to ischemia and tissue breakdown.
Age: Older adults have thinner, more fragile skin that is more susceptible to injury. They also have decreased subcutaneous fat, which provides less cushioning for bony prominences.
Nutritional status: Malnutrition is a significant risk factor for pressure ulcers, as it impairs wound healing and tissue repair. Incontinence: Urinary and fecal incontinence can irritate the skin and increase the risk of breakdown.
Chronic medical conditions: Many chronic medical conditions, such as diabetes, peripheral vascular disease, and neurological disorders, can impair blood flow and sensation, further increasing the risk of pressure ulcers.
Choice B rationale:
Mobility: A client who uses a cane is still able to ambulate, which helps to redistribute pressure and reduce the risk of pressure ulcers.
Age: While a 75-year-old client is still considered an older adult, they are less likely to be at risk than a bed-bound client.
Choice C rationale:
Mobility: A client who uses a walker is able to ambulate, although their mobility may be limited. This still helps to reduce the risk of pressure ulcers compared to a bed-bound client.
Age: A 92-year-old client is at a higher risk due to their age, but their mobility helps to mitigate this risk. Choice D rationale:
Mobility: A mobile client is at the lowest risk for pressure ulcer development, as they are able to frequently reposition themselves and relieve pressure on bony prominences.
Age: While an 83-year-old client is still considered an older adult, their mobility significantly reduces their risk.
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