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The urethra is a tube that, in males, is surrounded by prostate tissue. When the prostate enlarges, it encroaches on the urethra and narrows it. When catheterizing a male patient with an enlarged prostate, you may encounter resistance. How should you respond to this situation?
- A. Remove the catheter immediately and call the health-care provider.
- B. Continue to try to advance the catheter. If bleeding occurs, leave the catheter in place and call the health-care provider.
- C. Gently twist the catheter to try to pass the tip past the area of prostate enlargement.
- D. Remove the catheter and try a larger size.
Correct Answer: C
Rationale: Gently twisting the catheter can help navigate past the obstruction caused by an enlarged prostate.
You may also like to solve these questions
Which independent nursing measure would you implement?
- A. Encourage fluid intake
- B. Perform a bladder scan
- C. Administer a diuretic
- D. Insert a new catheter
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.
Which is true of UTIs in children?
- A. They are very common, second only to respiratory infections.
- B. The symptoms are the same as those seen in adults.
- C. They occur more often in boys than in girls.
- D. They may cause a toilet-trained child to have accidents.
- E. They may cause poor feeding, vomiting, and diarrhea.
Correct Answer: A,D,E
Rationale: UTIs are common in children, can cause accidents in toilet-trained children, and may present with nonspecific symptoms like poor feeding, vomiting, and diarrhea.
Stress incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: E
Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.
Your patient has stress incontinence. Which of the following statements represent recommended treatment for this problem?
- A. Suggest the patient wear incontinence pads in a comfortable style with adequate absorbency.
- B. Tell the patient that there are medications available to help with stress incontinence and that the doctor will discuss them with her.
- C. Tell the patient to avoid abdominal exercises, which can cause stress incontinence.
- D. Tell the patient about Kegel exercises.
Correct Answer: A,D
Rationale: Incontinence pads manage symptoms, and Kegel exercises strengthen pelvic floor muscles to treat stress incontinence.
You are teaching an aide to perform catheter care. Which of the following represents an accurate statement?
- A. Clean the perineum and a few inches of tubing using a perineal wash and a washcloth or gauze in downward strokes away from the body.
- B. Wash the perineum with a soapy washcloth using circular motions.
- C. Wash from the tubing 3 to 4 inches from the insertion site up toward the meatus.
- D. Separate the labia if the patient is female and wash first on one side, then the other, and then down the middle.
Correct Answer: A,D
Rationale: Cleaning downward from the meatus and separating the labia to clean thoroughly prevents infection by moving away from the insertion site.