A physician orders an indwelling urinary catheter for a client who is mildly confused and has been combative.How should the nurse proceed?
A) Ask a colleague for help, because the nurse cannot safely perform the procedure alone.
B) Gather the equipment and prepare it before informing the client about the procedure.
C) Obtain an order to restrain the client before inserting the urinary catheter.
D) Inform the primary provider that the nurse cannot perform the procedure because the client is confused.

Question

Quizplus · Accepted Answer

Before the nurse begins a procedure,she should review the care plan and look at the orders critically.Because this client is confused,she should ask a colleague to assist with the procedure to prevent undue stress for the client and nurse.The client should be informed about the procedure before the nurse gathers the equipment.Gathering the equipment and bringing it into the room before explaining the procedure might cause the client anxiety.Restraining the client should be done only as a last resort and to prevent client injury.Informing the primary provider that the procedure cannot be performed because the client is confused is inappropriate because the procedure can very likely be done with assistance.

A Physician Orders an Indwelling Urinary Catheter for a Client