The nurse encounters resistance during the insertion of a urinary catheter for a male patient. Which action should the nurse implement first?
a. Hold the catheter against the sphincter.
b. Ask the patient to inhale quickly.
c. Apply force to insert the catheter.
d. Remove the catheter immediately.
A
The nurse holds the urinary catheter against the sphincter until it relaxes when resistance is in-itially met during catheterization of a male patient. If the resistance is from prostatic hypertrophy, the nurse can use a catheter with a smaller, curved tip based on institution policy and healthcare provider preference. Asking the patient to inhale quickly is counterproductive because it effec-tively creates a Valsalva maneuver and stiffens the sphincter muscle. To prevent tissue trauma, the nurse never applies force to insert a urinary catheter. Removing the catheter is premature until holding the tip against the sphincter has been tried to relax the muscle.
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