The nurse will anticipate inserting a Coudé catheter for which patient?
An 8-year-old male undergoing anesthesia for a tonsillectomy
A 24-year-old female who is going into labor
A 56-year-old male admitted for bladder irrigation
An 86-year-old female admitted for a urinary tract infection
The Correct Answer is C
A. An 8-year-old male undergoing anesthesia for a tonsillectomy:
This child likely has no anatomical issues. A straight catheter would typically suffice for short-term use.
B. A 24-year-old female who is going into labor:
Females typically have a short urethra; a standard catheter is appropriate.
C. A 56-year-old male admitted for bladder irrigation:
Coudé catheters are curved-tipped and designed for males with prostatic hypertrophy or urethral stricture, which is common in older males. This is the correct use.
D. An 86-year-old female admitted for a urinary tract infection:
There is no indication of urethral obstruction or prostatic issues-Coudé not necessary.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is F,E,A,C,B,D
Explanation
A. Clean injection port:
This is done after clamping and before connecting the syringe to prevent introducing infection.
B. Inject prescribed solution:
Done only after the syringe is connected to the port.
C. Twist needleless syringe into port:
This ensures a secure and sterile connection before irrigation.
D. Remove clamp and allow to drain:
This step ensures the irrigant and urine can flow out properly after irrigation.
E. Clamp catheter just below specimen port:
Done early to allow retention of solution during irrigation and prevent backflow.
F. Draw up prescribed amount of sterile solution ordered:
First step—preparing the exact amount of irrigation fluid needed.
Correct Answer is C
Explanation
A. Limit fluid intake:
This can worsen retention by reducing the urge to void. Not appropriate unless fluid overload is present.
B. Insert a urinary catheter:
This may be required, but non-invasive interventions like position change should be tried first, especially if there's no acute distress.
C. Assist to a standing position:
For male patients, standing often promotes natural voiding by utilizing gravity and familiarity of position. Least invasive and most appropriate initial step.
D. Ask for a diuretic medication:
Diuretics increase urine production but do not resolve urinary retention. They may worsen bladder distention.
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