The daughter and caretaker of a confused client with functional incontinence is crying and asks about having an in-dwelling catheter placed in her mother so that there is less laundry and the house does not smell so much like urine
What is the nurse's best response? A. "You must be very aggravated at this situation. That plan will take care of all urinary-related problems, and I will call the physician with this request."
B. "I know you are tired. However, having a catheter in all the time creates a large risk for infection. I will teach you how to insert the catheter, which should be used just at night."
C. "With wet clothing, your mother is also at an increased risk for skin breakdown. Rather than place a catheter in long-term, we can teach you and your mother how to perform intermittent catheterization to drain the bladder 6 to 8 times each day and help her keep dry."
D. "Although a catheter seems easier, it would not be good for your mother. There are many types of pads that can be placed or worn to prevent smells and leaks. Social services can help you obtain these supplies at a reasonable cost."
D
In-dwelling catheters are used only as a last resort because of the risk for ascending urinary tract infections and sepsis. Containment pads should be attempted as a means of controlling wetness first. If the client has skin breakdown, an in-dwelling catheter can be placed temporarily until the area has healed.
You might also like to view...
A 73-year-old man presents to his family physician with complaints of recent urinary hesitation and is eventually diagnosed with benign prostatic hyperplasia (BPH)
Which of the following clinical consequences would his care provider expect prior to the resolution of his health problem? A) Hydroureter and pain B) Development of renal calculi and renal cysts C) Unilateral hydronephrosis and pain D) Development of glomerulonephritis or nephrotic syndrome Ans:
A 14-year-old boy reports that he has been seeing and hearing things. His friends tell him it is like he goes to another world sometimes. The teen does not understand what is happening to him
The mental health nurse is aware that the teen could be experiencing: 1. Suicidal ideations. 2. Obsessive-compulsive behaviors. 3. Hallucinations. 4. Stress.
The nurse prepares to change the client's central line dressing. Place the steps of the procedure in correct order.A) Remove the old dressing.B) Remove and discard gloves; perform hand hygiene.C) Don a mask and have the client don a mask.D) Apply the new dressing.E) Cleanse the site.
Fill in the blank(s) with the appropriate word(s).
A doctor's order for a 24-hour stool specimen collection indicates to the nurse that the physician needs to:
1. Analyze the stool for dietary products and digestive secretions. 2. Detect the presence of bacteria or viruses. 3. Detect the presence of ova and parasites. 4. Determine the presence of occult blood.