The nurse is attempting to place a urinary catheter in a 96-year-old female client. The nurse is unable to visualize the client's urinary meatus. An alternate position to facilitate the insertion of the catheter would include:
1. Supine with the head of bed (HOB) elevated at 90°.
2. Supine with the bed flat, legs bent and apart.
3. Supine with the HOB elevated at 30°.
4. Side-lying lifting up the buttock.
4. Side-lying lifting up the buttock.
Ratioale:
Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position lifting up the buttock is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.
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