The nurse receives an order to insert a Foley catheter. In obtaining a catheter of the right size, the nurse is aware that large catheters can lead to which complication?
a. Urethral damage
b. Bladder relaxation
c. Obstruction of urinary flow
d. Decreased risk for infection
A
Large catheters (larger than 16 Fr) can distend the urethra and permanently damage the urethra and bladder neck, as well as cause bladder spasms and leaking around the catheter. Use a catheter of the smallest size possible to minimize trauma and promote adequate drainage of the periurethral glands. This will decrease the risk for infection.
You might also like to view...
The nurse administers synthetic erythropoietin for what therapeutic effect?
1. Stimulate the production of platelets. 2. Stimulate the production of white blood cels. 3. Stimulate the production of lymph fluid. 4. Stimulate the production of red blood cells.
A nurse notes that a woman's chart lists "dyspareunia" as a diagnosis. In planning education for the patient, which topics would the nurse include?
A. Black cohosh and soy nuts B. Kegel exercises and use of a pessary C. Nonsteroidal anti-inflammatory medications D. Water-based vaginal lubricants
The nurse is caring for a client who is becoming increasingly short of breath. The nurse decides to call the physician. Which of the following should the nurse initially do when speaking with the physician?
a. State the problem b. Tell what is needed c. State the client's allergies d. Relate the client's background
In a darkened room, the nurse uses a penlight against the client's cheek to transluminate through the roof of the mouth. A normal finding would be:
1. A faint glow can be seen through the bones. 2. There is no light transmission. 3. There is diminished light transmission. 4. Seen in absence of soft palate defects.