The nurse anticipates a suprapubic catheter for which patient?

Choice A reason: Stress incontinence involves urine leakage during physical activities (e.g., coughing, sneezing) due to weak pelvic floor muscles. It does not cause constant leakage or a distended bladder, as the bladder empties normally between episodes.

Choice B reason: Overflow incontinence occurs when the bladder is overdistended and cannot empty fully, leading to constant dribbling of small urine amounts. A palpable, distended bladder indicates urinary retention, often due to obstruction or weak detrusor muscle, matching the described symptoms.

Choice C reason: Reflex incontinence involves involuntary bladder emptying due to spinal cord issues, without sensation. It does not typically cause constant leakage or a distended bladder, as the bladder empties reflexively, not retaining large volumes.

Choice D reason: Urge incontinence results from sudden, uncontrollable bladder contractions, causing urgent urination with large volume leaks. It does not involve constant small leaks or a distended bladder, as the bladder empties during episodes.

Choice A reason: Morphine-induced respiratory depression (RR 10, O2 Sat 85%) and hypotension (BP 88/42) indicate opioid overdose. Naloxone reverses opioid effects, while Fowler’s position and oxygen improve ventilation and oxygenation, addressing life-threatening symptoms as the priority.

Choice B reason: High Fowler’s position aids breathing but does not address morphine’s opioid effects causing respiratory depression and hypoxia. Alone, it is insufficient to reverse the underlying cause or stabilize the patient’s critical vital signs.

Choice C reason: Applying oxygen via nasal cannula improves oxygenation but does not reverse morphine’s central nervous system depression causing hypoventilation. It is a supportive measure, not the priority compared to naloxone administration.

Choice D reason: Flumazenil reverses benzodiazepines, not opioids like morphine. Administering it is inappropriate and ineffective for this scenario, and while oxygen is helpful, it is secondary to reversing the opioid overdose with naloxone.