CMSRN Medical-Surgical Nursing

Category - Genitourinary

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Gretchen, 25 years old, is admitted to the Emergency Department following a fall from a hoarse and the physician orders insertion of a Foley catheter. While preparing for the procedure, the nurse notes blood at the urinary meatus. The nurse should:

Notify the physician
Use a smaller size of catheter
Administer pain medication before inserting the catheter
Use extra povidone-iodine solution in cleansing the meatus

Explanation

Answer - A - The presence of blood at the urinary meatus may indicate urethral trauma or disruption. The nurse notifies the physician, knowing that the client should not be catheterized until the cause of the bleeding is determined by diagnostic testing.

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