A nurse is discussing indications for urinary catheterization with a newly licensed nurse. Which of the following indications should the nurse include? (Select all that apply).
A.
Measurement of residual urine after urination
B.
An open perineal wound
C.
Relief of urinary retention
D.
Convenience for the nursing staff or the client’s family
E.
routine acquisition of a urine specimen
The Correct answer and Explanation is:
The correct answers are:
A. Measurement of residual urine after urination
B. An open perineal wound
C. Relief of urinary retention
Explanation:
Urinary catheterization is a procedure in which a tube is inserted into the bladder to drain urine. It is commonly performed for several medical reasons, and understanding these indications is crucial for effective patient care. Here’s a detailed look at the correct indications:
A. Measurement of residual urine after urination
Catheterization may be used to measure residual urine volume when there is a concern about incomplete bladder emptying. This can help diagnose conditions like urinary retention or bladder dysfunction. Residual urine measurement is a diagnostic tool that helps determine if the bladder is emptying effectively and guides further treatment if necessary.
B. An open perineal wound
In cases of open perineal wounds, such as those resulting from trauma or surgical procedures, catheterization can be indicated to avoid further irritation or infection. This is particularly relevant when the wound is located in an area that is difficult to keep clean, and catheterization helps minimize the risk of contamination from urine.
C. Relief of urinary retention
One of the primary indications for catheterization is to relieve urinary retention, which occurs when a patient cannot empty their bladder completely. This could be due to various factors, including obstruction, neurological conditions, or postoperative complications. Inserting a catheter provides immediate relief by draining the bladder and preventing further complications associated with urinary retention.
Incorrect Indications:
D. Convenience for the nursing staff or the client’s family
Catheterization should not be performed solely for convenience. This practice is not aligned with ethical and clinical standards, as it may expose patients to unnecessary risks such as infections or injury. The decision to catheterize should always be based on medical necessity and patient well-being.
E. Routine acquisition of a urine specimen
Routine urine specimen collection does not require catheterization. Non-invasive methods, such as using a clean-catch midstream urine sample, are preferred and sufficient for most diagnostic purposes. Catheterization for this purpose could increase the risk of infections and is generally reserved for cases where other methods are not viable.
In summary, the indications for urinary catheterization should be based on medical necessity, such as measuring residual urine, managing open perineal wounds, or relieving urinary retention, rather than convenience or routine specimen collection.