A nurse caring for a 60-year-old client with hypertrophy of the prostate gland is required to remove the retention catheter that was inserted to relieve urinary retention. Which step should the nurse follow when removing the catheter?
A) Retention catheter should be cut and removed.
B) Catheter balloon should be completely deflated.
C) Client should be placed in side-lying position.
D) Client should be asked to hold breath during the procedure.
B
Feedback:
The catheter balloon must be completely deflated when the retention catheter is removed, to prevent urethral trauma. A cut catheter can retract back into the urethra or bladder, so it should never be cut and removed. Other measures, such as positioning the client in the side-lying position or removing the plastic cover of the catheter, are unnecessary at this stage. The side-lying position is generally maintained for female catheterization. The client should not be asked to hold his breath. Instead, he should be asked to breathe slowly and deeply to facilitate removal.
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