You have an order to insert a Foley catheter on your male patient with an enlarged prostate with urinary retention. You have attempted to advance the catheter up the urthetra, however you cannot advance any further. What would be your next step in addressing this?

 

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Correct

- Insert a Coude catheter

- Utilizing sterile scissors, cut the tip of the foley catheter in half to enable to pass past the prostate

- Discuss suprapubic catheter placement with the physician

- Place an external urinary drainage device instead

Rationale

Utilizing a Coude Catheter, which has a slanted tip, enables it to pass by the smaller opening and curve around the prostate for successful insertion. Cutting a Foley catheter would be inappropriate and unsafe. A suprapublic catheter is not indicated. An external urinary drainage device would not address his urinary retention.

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Question Information

Nursing Category

Fundamentals

Question Difficulty
Total - 115
Correct - 62
Percent Right - 53.9130434783
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Question ID - 368388

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