The caretaker of a confused client with functional incontinence asks about having an in-dwelling catheter placed. Which is the nurse's best response?
a. "You must be very aggravated about this situation. I will call the provider with this request."
b. "I will teach you how to insert the cathe-ter, which should be used just at night."
c. "We can teach you how to perform inter-mittent catheterization to drain the blad-der."
d. "Because the client is confused, we need to place priority on keeping the skin clean and dry."
D
In-dwelling catheters are used only as a last resort because of the risk for ascending urinary tract infection and sepsis. The use of containment pads should be attempted as a means of controlling wetness first. If the client has skin breakdown, an in-dwelling catheter can be placed temporarily until the area has healed. But for a client with cognitive impairment, continence probably cannot be achieved, so the focus turns to maintaining skin integrity.
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