You are a urology nurse caring for a male patient admitted to your unit with bladder distention from prostatic hypertrophy. The physician orders placement of an indwelling urinary catheter
The nurse and urologist are both unsuccessful in catheterizing this patient due to the prostatic obstruction. What approach does the nurse anticipate the physician using to drain the patient's bladder?
A) Insertion of a suprapubic catheter
B) Scheduling the patient immediately for surgery to relieve the bladder obstruction
C) Application of warm compresses to the perineum to assist with relaxation, which will result in the patient voiding on his own
D) Medication administration to relax the bladder muscles and attempting catheterization in 6 hours
Ans: A
Feedback: When the patient cannot void, catherization is used to prevent overdistention of the bladder. In the case of prostatic obstruction, attempts at catherization by the urologist may not be successful, requiring insertion of a suprapubic catheter.
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