A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care?<\/p>\n\n\n\n
A.
Catheterize for residual urine after voiding.<\/p>\n\n\n\n
B.
Instruct the patient how to self-catheterize.<\/p>\n\n\n\n
C.
Assist the patient to the toilet every 2 hours.<\/p>\n\n\n\n
D.
Teach the patient to use the Cred\u00e9 method.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n The correct answer is B. Instruct the patient how to self-catheterize<\/strong>.<\/p>\n\n\n\n A neurogenic reflexic bladder, also known as an upper motor neuron bladder, typically occurs in patients with spinal cord injuries above the T12 level. In this condition, the bladder contracts involuntarily, often in response to a full bladder or external stimuli. However, due to the lack of coordination between the bladder and the external urethral sphincter, the patient is unable to voluntarily control bladder emptying. This can result in incomplete bladder emptying, urinary retention, and overflow incontinence. Over time, urinary stasis can increase the risk of urinary tract infections (UTIs), renal complications, and bladder distension.<\/p>\n\n\n\n Self-catheterization is a key intervention for patients with a neurogenic bladder, as it allows them to manage urinary retention effectively. By teaching the patient how to self-catheterize, the nurse helps them maintain autonomy, prevent urinary retention, and reduce the risk of infections. Clean intermittent catheterization (CIC) is usually recommended, as it is performed at regular intervals, depending on the patient’s bladder capacity and fluid intake. It minimizes the risks associated with continuous indwelling catheters, such as infections and urethral trauma.<\/p>\n\n\n\n Options A<\/strong> and C<\/strong>, while relevant for certain bladder management strategies, are not as effective for a neurogenic reflexic bladder. Catheterizing for residual urine or scheduled toileting may not fully address the inability of the bladder to empty completely. Additionally, D. The Cred\u00e9 method<\/strong> involves applying manual pressure to the bladder to promote emptying, which is more appropriate for an areflexic (lower motor neuron) bladder rather than a reflexic one. In reflexic bladders, stimulation of the reflex arc can trigger emptying, so self-catheterization is the preferred approach for managing urinary function.<\/p>\n\n\n\n Instructing the patient on self-catheterization empowers them to manage their condition independently and helps prevent complications such as infections, kidney damage, and bladder overdistension.<\/p>\n","protected":false},"excerpt":{"rendered":" A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic reflexic bladder. Which action should the nurse include in the plan of care? A.Catheterize for residual urine after voiding. B.Instruct the patient how to self-catheterize. C.Assist the patient to the toilet every 2 hours. D.Teach the patient to use the Cred\u00e9 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-136232","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136232","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=136232"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/136232\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=136232"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=136232"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=136232"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}