2024 PN NCLEX Questions Nursing Practice Question
What is the most appropriate intervention for a client with suspected genitourinary trauma and visible blood at the urethral meatus?
Correct Answer: D
Rationale: In cases of suspected genitourinary trauma with visible blood at the urethral meatus, a urologist consult is essential to assess for potential injuries, such as urethral lacerations, before any invasive procedures.
Option A, insertion of a Foley catheter, may exacerbate injuries and is contraindicated until a thorough evaluation is conducted. Option B, obtaining an in-and-out catheter specimen, also poses risks similar to Foley insertion and may lead to further damage. Option C, a voided urine specimen, is inadequate for assessing trauma severity and could overlook serious injuries. Thus, consulting a urologist ensures appropriate and safe management.