The nurse anticipates a suprapubic catheter for which patient?
Explanation & Rationale
Choice A reason: A recent hysterectomy typically does not require a suprapubic catheter unless complications like bladder injury occur. Urethral catheters are standard for postoperative urinary management, as the urethra is usually unaffected, making suprapubic catheters unnecessary for routine hysterectomy recovery. Choice B reason: Menopause does not necessitate a suprapubic catheter. It may cause urinary symptoms like incontinence due to hormonal changes affecting pelvic floor muscles, but these are managed with behavioral or pharmacological interventions, not catheterization, which is irrelevant to menopausal physiology. Choice C reason: A urethral stricture, narrowing the urethra due to scar tissue, obstructs urine flow, making urethral catheterization difficult or impossible. A suprapubic catheter bypasses the urethra, draining urine directly from the bladder, ensuring effective bladder management and preventing complications like retention or infection. Choice D reason: An appendectomy does not typically require a suprapubic catheter. Postoperative urinary management, if needed, uses urethral catheters, as appendectomy does not affect urethral patency. Suprapubic catheters are reserved for conditions obstructing urethral access, which appendectomy does not cause.