The nurse is attempting to place a urinary catheter for an older adult female client. The nurse is unable to visualize the client's urinary meatus. Which alternate position for catheterization may be appropriate for this client?
A) Side-lying, lifting up the buttock.
B) Supine, with the HOB elevated at 30 °.
C) Supine, with the head of bed (HOB) elevated at 45 °.
D) Supine, with the bed flat, legs bent and apart in stirrups.
Answer: A
Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.
You might also like to view...
A preterm neonate received caffeine for the treatment of apnea. The nurse should monitor the neonate for which of the following?
A) Bloody stools B) Bradycardia C) Constipation D) Hypoglycemia
A patient demonstrates visual aphasi
a. The nurse can project that there is dysfunction in which cerebral lobe? a. Temporal b. Parietal c. Occipital d. Frontal
One of your assigned clients speaks about family members, indicating that the members are highly educated with advanced doctorate and medical degrees. The client states, "I can never measure up to them." The nurse's BEST reply would be:
a. "You are just as smart as your family." b. "Maybe you are just more sensitive than they are." c. "What are some of the things that you have accomplished?" d. "What would someone have to do to measure up?"
Which group of people would be most likely to use spices for maintaining the balance of hot and cold?
1. Hispanic 2. European 3. Native American 4. African American