HESI EAQ RENAL, URINARY, AND REPRODUCTIVE SYSTEMS

A male client reported dysuria, nocturia, and difficulty starting a urinary stream. The client has a cystoscopy and biopsy of the prostate gland scheduled. After the procedure, the client reports an inability to void. Which action would the nurse implement? - Answer-1 Insert a urinary retention catheter. Correct 2 Palpate above the pubic symphysis. 3 Limit oral fluids until the client voids. 4 Assure the client that this is expected. A full bladder is palpable with urinary retention and distention, which are common problems after a cystoscopy because of urethral edema. After determining if the bladder is palpable, the nurse would implement conservative nursing methods, such as running water or placing a warm cloth over the perineum, to precipitate voiding; catheterization carries a risk of infection and used as the last resort. Fluids dilute the urine, reduce the chance of infection after cystoscopy, and should not be limited. Although urinary retention can occur, it is not expected; the nurse must assess the extent of bladder distention and discomfort first. After a prostatectomy, the client reported the urinary catheter tubing pulled too tightly on the leg. The nurse observed the excessively taut indwelling catheter tubing and properly taped tubing to the thigh. Which action would the nurse implement? - Answer-Correct 1 Explain the tubing traction assists to control bleeding. 2 Adjust the catheter tubing tension to relieve the taut pressure. 3 Untape the urinary catheter and retape the catheter closer to the urinary meatus. 4 Assess the degree of tension on the catheter and contact the primary health care provider. Traction on the indwelling catheter pulls the balloon tight against the prostatic fossa, which