A nurse is caring for a client with an enlarged prostate. The client has difficulty voiding. Physical assessment notes a distended bladder with residual urine. When performing intermittent catheterization, which of the following is an inappropriate technique to ease the insertion:
A)Using the smallest available catheter in stock
B)Using liberal amounts of water-based lubricant
C)Assisting the client in semi-Fowler's position with the legs spread apart
D)Instructing the client to cough or bear down while maneuvering the catheter

Question

Quizplus · Accepted Answer

Assisting the client in semi-Fowler's position with the legs spread apart is an inappropriate technique. The patient must be placed in supine position with the legs spread apart as this is the easiest position to gain access for catheterization. To successfully insert the catheter with minimal trauma to the urethral lining, use the smallest available catheter possible, apply liberal amounts of lubricant, and ask the client to cough or bear down while maneuvering the catheter. Do not force the catheter since this can cause traumatic injury to the urethra.

A Nurse Is Caring for a Client with an Enlarged