A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?

Assist him to a standing position.

Ask his wife to assist with the urinal.

Pour cold water over his genitalia.

Tell him he has to void to be discharged.

Answer and Explanation

The Correct Answer is A

a) Assist him to a standing position: Assisting the client to a standing position can help facilitate voiding, as it takes advantage of gravity and the normal physiological positioning for urination in males.

b) Ask his wife to assist with the urinal: While support from family members is often helpful, it does not address the issue of positioning, which is key in facilitating voiding after surgery.

c) Pour cold water over his genitalia: Pouring cold water is a common technique to encourage voiding, but it may not be as effective as proper positioning.

d) Tell him he has to void to be discharged: While it’s true that clients need to void before discharge in some cases, this statement may cause anxiety and does not address the root of the issue (difficulty voiding in the supine position).

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Correct Answer is A

Explanation

a) Shorter in length: The female urethra is shorter than the male urethra, which makes it easier for bacteria to enter the bladder, increasing the risk of urinary tract infections. This difference is important when performing catheterization.

b) Longer in length: The male urethra is longer than the female urethra.

c) No connection with the bladder: Both the male and female urethras are connected to the bladder.

d) Has different innervation: While there are some differences in the innervation of male and female genital areas, the basic innervation of the urethra is similar for both sexes.

A. Providing a skin barrier for any drainage at the site B. Turn the client to the side C. Apply adhesive bandage directly to the skin D. Keep the head of bed 25 degrees

Correct Answer is A

Explanation

a) Providing a skin barrier for any drainage at the site: Protecting the skin from moisture or drainage prevents further irritation or breakdown. Skin barriers help maintain skin integrity.

b) Turn the client to the side: Positioning may help with aspiration prevention but does not address skin irritation around the G-tube site.

c) Apply adhesive bandage directly to the skin: Adhesive bandages can further irritate or damage already sensitive skin and are not recommended for irritated or moist areas.

d) Keep the head of bed 25 degrees: While semi-Fowler’s positioning (30–45°) is good for preventing aspiration, this is unrelated to treating skin irritation directly.

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A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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