The nurse is caring for a male client who has a significant urinary narrowing secondary to an enlarged prostate. Which nursing action is best to relieve his urinary retention?
A) Use a 22 French catheter to remove urine from bladder.
B) Teach the Credé's maneuver to remove urine from the bladder.
C) Insert a coudé catheter to remove urine from the bladder.
D) Use a straight-tipped catheter to remove urine from the bladder.
C
Feedback:
The best nursing action to remove urine from the bladder is to use a curve-tipped coudé catheter. The coudé catheter has a curved tip to slide over the obstruction. Using a large catheter such as a 22 French would meet resistance and trauma to the urethral lining. A straight-tipped catheter also would meet the obstruction and not advance. The Credé's maneuver may eliminate a small amount of urine but does nothing to allow urine flow around the narrowing.
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