Question

A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess the client for which of the following conditions prior to starting the procedure?

A) Hypertension
B) Urinary retention
C) Urinary incontinence
D) Urinary tract infection (UTI)

Answer 1

The nurse should assess the client for D) Urinary tract infection (UTI) prior to starting the procedure.

Step-by-step explanation:

Assessing the client for a urinary tract infection (UTI) before inserting an indwelling urinary catheter is crucial to prevent potential complications. The presence of a UTI can increase the risk of introducing bacteria into the urinary tract during catheterization, leading to systemic infections and other complications. Therefore, the correct answer is option D.

While options A, B, and C may also be relevant considerations in a patient's overall assessment, a UTI is particularly pertinent in the context of catheterization. Hypertension (option A) may be a factor to monitor but is not directly associated with the risk of catheter-related infections. Urinary retention (option B) and urinary incontinence (option C) may influence the decision to catheterize, but they do not specifically address the potential infection risk.

Ensuring a sterile and aseptic technique during catheterization is crucial to minimize the risk of introducing pathogens. The nurse's assessment for a UTI includes observing signs such as fever, foul-smelling urine, or cloudy urine, and testing for the presence of bacteria in the urine. If a UTI is suspected, appropriate interventions, such as antibiotic therapy, may be initiated before proceeding with catheterization.

In summary, the primary concern before inserting an indwelling urinary catheter is to assess for a UTI due to the increased risk of complications associated with catheter-related infections.

Answer 2

Inserting an indwelling urinary catheter can introduce bacteria into the urinary tract, potentially causing or exacerbating a UTI. Assessing for UTI before the procedure helps prevent complications and ensures patient safety. The nurse should assess the client for D) Urinary tract infection (UTI) prior to starting the procedure.

Step-by-step explanation:

The nurse should prioritize assessing the client for a urinary tract infection (UTI) before inserting an indwelling urinary catheter. UTIs are common complications associated with catheterization due to the introduction of bacteria into the urinary tract. Inserting a catheter without considering the presence of a UTI can exacerbate the infection and lead to more severe complications.

Symptoms of a UTI, such as dysuria, frequency, urgency, and cloudy or foul-smelling urine, should be identified through thorough assessment. By addressing a potential UTI before catheterization, the nurse can prevent further complications and provide appropriate care tailored to the client's needs.

Thus, the correct answer is option D) Urinary tract infection (UTI)