Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?

Question

Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?

BlackTom AI · Accepted Answer

Question restated: Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?

Option 1: Offer the patient a urinal or bedpan. This option is appropriate because the patient just received a sedative and is temporarily immobile due to anesthesia premedication. Providing a urinal or bedpan allows the patient to relieve toileting needs without attempting to ambulate, which could risk falls or IV line dislodgement while sleepily under the drug's effect.

Option 2: Tell the patient that a catheter will be placed in the operating room. This is unlikely and unnecessary at this moment. Proactive catheterization without a clinical indication increases infection risk and is not a routine immediate response to a patient requesting to urinate while sedated.

Option 3: Assist the patient to the bathroom. While this might seem helpful, it is unsafe in the context of recent IV sedation and an immediate preoperative state. Walking to the bathroom with an IV line and sedation can lead to falls, impaired balance, or dislodgement of lines, making it an unsuitable choice.

Option 4: Perform a straight catheterization. This is an invasive procedure that should not be performed solely based on a patient requesting to urinate after receipt of preoperative sedation. Indwelling or intermittent catheterization carries risks such as urethral trauma and infection and requires a documented indication rather than a patient request in this setting.

Additional considerations: In the preoperative context with sedative administration, prioritizing safety over mobility is essential. Providing a sanitary alternative (urinal or bedpan) aligns with patient comfort and safety while preserving the IV line and the sedated state. The other options introduce unnecessary risks or are inconsistent with standard preoperative care protocols.

Five minutes after receiving the ordered preoperative midazolam by IV injection, the patient asks to get up to go to the bathroom to urinate. Which action by the nurse is most appropriate?

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