Question

Which of the following patients is most likely to be taught intermittent self-catherizaiton?

a. the post-op patient who has urinary retention
b. the patient with neurogenic bladder
c. the older patient who has ongoing incontinence
d. a patient who is cognitively impaired

Answer 1

The patient with neurogenic bladder is most likely to be taught intermittent self-catheterization.

Step-by-step explanation:

The patient who is most likely to be taught intermittent self-catheterization is the patient with neurogenic bladder. Neurogenic bladder refers to a condition where there is a dysfunction in the neurological control of the bladder, leading to difficulties in bladder emptying. Intermittent self-catheterization is a technique used to empty the bladder by inserting a catheter into the urethra on a regular basis.

Patients with a neurogenic bladder often have impaired bladder function, which can result in incomplete emptying, urinary retention, and an increased risk of urinary tract infections. Intermittent self-catheterization helps to ensure complete bladder emptying and reduce the risk of complications.

In comparison, the other patients mentioned in the options are less likely to require intermittent self-catheterization:

• The post-op patient with urinary retention may require temporary catheterization to relieve the retention, but it is not typically taught as a long-term management technique.
• The older patient with ongoing incontinence may require other forms of management, such as wearing absorbent pads or using medications, rather than self-catheterization.
• The patient who is cognitively impaired may need assistance with toileting and bladder management, but self-catheterization may not be feasible or appropriate for them.