A patient has had her indwelling urinary catheter removed after having it in place for 10 days during recovery from an acute illness
Two hours after removal of the catheter, the patient informs the nurse that she is experiencing urinary urgency resulting in several small-volume voids. What is the nurse's best response?
A) Inform the patient that urgency and occasional incontinence are expected for the first few weeks post-removal.
B) Obtain an order for a loop diuretic in order to enhance urine output and bladder function.
C) Inform the patient that this is not unexpected in the short term and scan the patient's bladder following each void.
D) Obtain an order to reinsert the patient's urinary catheter and attempt removal in 24 to 48 hours.
Ans: C
Feedback:
Immediately after the indwelling catheter is removed, the patient is placed on a timed voiding schedule, usually every 2 to 3 hours. At the given time interval, the patient is instructed to void. The bladder is then scanned using a portable ultrasonic bladder scanner; if the bladder has not emptied completely, straight catheterization may be performed. An indwelling catheter would not be reinserted to resolve the problem and diuretics would not be beneficial. Ongoing incontinence is not an expected finding after catheter removal.
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