The nurse is caring for an older adult client with a medical diagnosis of benign prostatic hyperplasia resulting in urinary retention
When attempting to pass the catheter, the nurse encounters an obstruction, and cannot get the catheter to pass beyond it. Which action by the nurse is the most appropriate?
1. Documenting that catheterization is not possible, and notifying the health care provider
2. Attempting to pass a Coudé catheter
3. Attempting to push the catheter past the obstruction
4. Applying ice to the base of the penis, and attempting to pass the catheter in 30 minutes
Correct Answer: 2
The nurse would attempt to pass a Coudé catheter, which has a curved tip that is somewhat stiffer and can be better controlled during insertion, with passage often less traumatic. Merely documenting that the catheter cannot be passed causes the client to continue to experience the discomfort of bladder distention until the health care provider arrives. Pushing the catheter past the obstruction could result in serious trauma. Applying ice would not reduce the obstruction, and would most likely be very uncomfortable for the client.
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