The nurse anticipates a suprapubic catheter for which patient?
A patient with a recent hysterectomy.
A patient with menopause.
A patient with a urethral stricture.
A patient with an appendectomy.
The Correct Answer is C
Choice A reason: A recent hysterectomy typically does not require a suprapubic catheter unless complications like bladder injury occur. Urethral catheters are standard for postoperative urinary management, as the urethra is usually unaffected, making suprapubic catheters unnecessary for routine hysterectomy recovery.
Choice B reason: Menopause does not necessitate a suprapubic catheter. It may cause urinary symptoms like incontinence due to hormonal changes affecting pelvic floor muscles, but these are managed with behavioral or pharmacological interventions, not catheterization, which is irrelevant to menopausal physiology.
Choice C reason: A urethral stricture, narrowing the urethra due to scar tissue, obstructs urine flow, making urethral catheterization difficult or impossible. A suprapubic catheter bypasses the urethra, draining urine directly from the bladder, ensuring effective bladder management and preventing complications like retention or infection.
Choice D reason: An appendectomy does not typically require a suprapubic catheter. Postoperative urinary management, if needed, uses urethral catheters, as appendectomy does not affect urethral patency. Suprapubic catheters are reserved for conditions obstructing urethral access, which appendectomy does not cause.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Visceral pain arises from internal organs, like the stomach, and is often described as burning, diffuse, or radiating, as the patient reports. It results from organ distension, inflammation, or ischemia, matching the described gastric, circular pain pattern.
Choice B reason: Chronic pain persists beyond 3 months and is not defined by location or quality. The patient’s 3-day pain is acute, not chronic, and the description aligns with visceral pain, not a chronic condition.
Choice C reason: Idiopathic pain has no identifiable cause. The patient’s pain, localized to the stomach with a burning, radiating quality, suggests a visceral origin (e.g., gastritis), making idiopathic an incorrect classification.
Choice D reason: Superficial pain originates from skin or mucous membranes, described as sharp or localized. The patient’s deep, burning, and radiating gastric pain is characteristic of visceral pain, not superficial pain.
Correct Answer is C
Explanation
Choice A reason: Limiting activity can worsen constipation by reducing bowel motility. Physical activity stimulates peristalsis via abdominal muscle movement and increased blood flow, so advising reduced activity is counterproductive and not recommended for managing constipation.
Choice B reason: While hydration is important, four to five glasses of water daily may be insufficient for older adults, who often need 6-8 glasses (1.5-2 liters) to soften stool and promote bowel movements. This instruction is suboptimal compared to dietary fiber.
Choice C reason: Raw vegetables are high in insoluble fiber, which adds bulk to stool and stimulates peristalsis, easing constipation. This dietary change directly addresses the issue by promoting regular bowel movements, making it a key teaching point for older adults.
Choice D reason: Bearing down hard (Valsalva maneuver) can strain pelvic muscles and increase risks like hemorrhoids or cardiovascular stress, especially in older adults. Gentle defecation with proper positioning is safer, making this instruction inappropriate.
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