A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?

Straight catheter.

Indwelling urethral catheter

Suprapubic catheter

Intermittent urethral catheter

Answer and Explanation

The Correct Answer is C

A. Straight catheter: A straight catheter is used for intermittent catheterization and cannot bypass a complete obstruction.

B. Indwelling urethral catheter: A urethral catheter may not be able to pass through a completely obstructed urethra.

C. Suprapubic catheter: A suprapubic catheter is placed directly into the bladder through the abdominal wall, bypassing the obstructed urethra, making it the best option for this client.

D. Intermittent urethral catheter: Like a straight catheter, an intermittent urethral catheter will not work if the urethra is completely obstructed.

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Correct Answer is D

Explanation

A. Provide the client with a bedpan to reduce ambulating to the restroom: While limiting unnecessary movement can help prevent falls, using a bedpan is not the best intervention unless the patient is completely immobile.

B. Administer pain medications sparingly in order to minimize any cognitive side effects: Undertreating pain can lead to restlessness and unsteady movement, which may increase fall risk rather than prevent it.

C. Place the client in a shared room with a client who is stable and oriented: Roommate selection does not directly reduce fall risk. A shared room does not guarantee supervision or fall prevention.

D. Orient the client to the room and environment upon admission: Older adults may be disoriented in a new environment, increasing fall risk. Orienting them to the room (call light, bathroom location, bed height) helps them move safely.

A. The frequency B. The dose C. The route D. The medication

Correct Answer is C

Explanation

A. The frequency: The ordered frequency (once daily, QD) aligns with the drug guide recommendation.

B. The dose: The prescribed dose (50 mg once daily) is within the recommended range (25-200 mg once daily).

C. The route: The nurse must ensure that the patient can swallow tablets whole, as metoprolol succinate should not be crushed or chewed. If the patient has swallowing difficulties, the provider should be consulted for an alternative formulation.

D. The medication: The correct formulation (metoprolol succinate, extended-release) matches the order.

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Stoma Assessment	Stoma is protruding 2cm, is red and moist. Peristomal area is clean and intact.
Output	Liquid stool that is malodorous. Gas present in the appliance.
General Status	Patient is avoiding looking at the ileostomy during care.
Laboratory Data	Potassium 3.6 mEq/L (normal 3.5 to 5 mEq/L) Sodium 137 mEq/L (normal 135 to 145 mEq/L) Creatinine 0.9 mg/dL (normal 0.6 to 1.2 mg/dL)

A client with urine retention related to a complete prostatic obstruction requires a urinary catheter to drain the bladder. Which type of catheter is most appropriate for a client that has an obstructed urethra?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client to a geriatric medicine unit. Which action would the nurse implement to reduce the clients risk for falling?

Correct Answer is D

Explanation

Correct Answer is C

Explanation

A client is on bed rest and an enema has been ordered. In what position should the nurse position the client?

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