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You will need to push back the foreskin before catheterizing uncircumcised males. After you catheterize the patient, you should
- A. Pull the foreskin back over the glans.
- B. Leave the foreskin retracted.
- C. Lubricate the foreskin with petroleum jelly and then replace it.
- D. Elevate the penis on a folded towel to prevent swelling of the foreskin or glans.
Correct Answer: A
Rationale: Replacing the foreskin over the glans after catheterization prevents paraphimosis, a condition where the retracted foreskin causes swelling.
You may also like to solve these questions
The size of the balloon for an indwelling catheter is 5 mL.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: Indwelling catheter balloons typically range from 5 to 30 mL, with 10 mL being common for adults.
A straight-tipped catheter is best when catheterizing a patient with an enlarged prostate.
- A. TRUE
- B. FALSE
Correct Answer: B
Rationale: A coude-tipped catheter is preferred for patients with an enlarged prostate to navigate the urethral curve.
An infection in the bladder can spread to the kidneys.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A bladder infection can ascend through the ureters to the kidneys, causing pyelonephritis.
What is the minimum acceptable hourly urine output?
- A. 15 mL
- B. 30 mL
- C. 60 mL
- D. 90 mL
Correct Answer: B
Rationale: The minimum acceptable hourly urine output is 30 mL to indicate adequate kidney function.
You have just inserted an indwelling catheter in a 56-year-old male patient with urinary retention due to an enlarged prostate. You notice that the drainage bag is filling quickly, with 750 mL of urine almost immediately draining into it. Which of these actions will you take?
- A. Clamp the catheter after 1,000 mL has drained to prevent bladder collapse.
- B. Clamp the catheter after 1,200 mL has drained to prevent hematuria.
- C. Take no action because the patient is tolerating rapid bladder decompression without problems.
- D. Remove the catheter after 1,500 mL has drained and call the health-care provider.
Correct Answer: C
Rationale: Rapid drainage is normal in urinary retention, and no action is needed if the patient is tolerating it without symptoms like pain or hematuria.