The nurse encounters resistance during urinary catheterization of a male client. Which should the nurse implement first?
1. Hold catheter against sphincter.
2. Ask the client to inhale quickly.
3. Apply force to insert the catheter.
4. Remove the catheter immediately.
1
1. The nurse holds the urinary catheter against the sphincter until it relaxes when re-sistance is met during catheterization of a male client; however, if the resistance is from prostatic hypertrophy, the nurse can use a Credé catheter with a smaller, curved tip.
2. Asking the client to inhale quickly is counterproductive because it effectively creates a Valsalva maneuver and stiffens the sphincter muscle.
3. To prevent tissue trauma, the nurse never applies force to insert a urinary catheter.
4. Removing the catheter is premature; the nurse should try holding the tip against the sphincter first.
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