A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?
Straight catheter.
Indwelling urethral catheter
Suprapubic catheter
Intermittent urethral catheter
The Correct Answer is C
A. Straight catheter: A straight catheter is used for intermittent catheterization and cannot bypass a complete obstruction.
B. Indwelling urethral catheter: A urethral catheter may not be able to pass through a completely obstructed urethra.
C. Suprapubic catheter: A suprapubic catheter is placed directly into the bladder through the abdominal wall, bypassing the obstructed urethra, making it the best option for this client.
D. Intermittent urethral catheter: Like a straight catheter, an intermittent urethral catheter will not work if the urethra is completely obstructed.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Assess the patient: The priority action is to assess the patient for injuries before taking any further steps.
B. File a safety event report: This is important but should be done after assessing and ensuring the patient’s safety.
C. Place the patient on fall precautions: While necessary, this is a secondary intervention after assessment and ensuring immediate safety.
D. Get the patient back to bed: Moving the patient before assessing for injuries could worsen potential fractures or other injuries.
Correct Answer is C
Explanation
A. Transient incontinence and increased urine production: While increased urine production is expected, transient incontinence is not a typical finding with furosemide unless the client has preexisting bladder control issues.
B. Increased urine concentration: Furosemide is a loop diuretic that promotes the excretion of sodium and water, leading to dilute urine rather than concentrated urine.
C. Increased output of dilute urine: Furosemide blocks sodium reabsorption in the loop of Henle, resulting in increased urine production that is dilute due to excessive water excretion.
D. A risk of urinary tract infections: Furosemide does not directly increase the risk of urinary tract infections (UTIs). UTIs are more common with urinary retention rather than increased urine flow.
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