A male patient admitted with bladder distention from prostatic hypertrophy requires placement of an indwelling urinary catheter
The nurse and urologist are both unsuccessful in catheterizing this patient due to the prostatic obstruction. The nurse anticipates which of the following approaches to be used by the physician 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, catheterization is used to prevent overdistention of the bladder. In the case of prostatic obstruction, attempts at catheterization by the urologist may not be successful, requiring insertion of a suprapubic catheter.
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