The nurse and urologist have both been unsuccessful in catheterizing a patient with a prostatic obstruction and a full bladder. What approach does the nurse anticipate the physician using to drain the patient's bladder?

Question

A) Insertion of a suprapubic catheter
B) Scheduling the patient immediately for a prostatectomy
C) Application of warm compresses to the perineum to assist with relaxation
D) Medication administration to relax the bladder muscles and reattempting catheterization in 6 hours

Answer 1

Ans: A
Feedback:
When the patient cannot void, catheterization is used to prevent overdistention of the bladder. In the case of prostatic obstruction, attempts at catheterization by the urologist may not be successful, requiring insertion of a suprapubic catheter. A prostatectomy may be necessary, but would not be undertaken for the sole purpose of relieving a urethral obstruction. Delaying by applying compresses or administering medications could result in harm.