The nurse on a rehabilitation unit is caring for a 77-year-old patient who had undergone total knee replacement surgery.Since surgery,the patient has had several instances of urinary incontinence.The health care provider is contemplating the order of a Foley catheter.What is the nurse's best response to this suggestion?

A) "Perhaps you could order intermittent straight catheter insertions instead?"
B) "I think it would be better to put a disposable undergarment on her."
C) "Could we try a toileting schedule before you order the Foley?"
D) "I think that is a good idea; it will prevent skin breakdown."

Question

Giollo Antonio · Accepted Answer

Final Answer : C, Explanation :  You are in a strategic position to serve as a patient advocate by suggesting noninvasive alternatives to catheterization use.For example,you may decrease the risk for UTI by suggesting the use of a bladder scanner to evaluate bladder urine volume without invasive instrumentation or implement a toileting schedule for the incontinent patient.Be aware of indications for catheter insertion and be prepared to advocate for the patient if the indications do not meet accepted guidelines.

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