Which maneuver used to empty the urine bladder?

NORCET 2 -2021 (Shift-2)

Medical & Surgical Nursing

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

The Crede maneuver is a technique used to facilitate bladder emptying through manual compression.
It involves applying gentle, steady pressure on the lower abdomen, directly over the bladder area.
This method is indicated for patients with a flaccid neurogenic bladder or other forms of urinary retention where the bladder muscle cannot contract effectively on its own.
As noted in nursing texts, this procedure should only be performed after consultation with a healthcare provider due to potential risks.

Option B: The Leopold Maneuver is an obstetric procedure used to determine the position of a fetus within the uterus.
Option C: The Burns-Marshall maneuver is a specific technique used during childbirth, particularly in breech deliveries, to safely deliver the baby's head.
Option D: This option is incorrect because only the Crede maneuver is used for emptying the bladder. The other maneuvers listed have obstetric applications.

Visual 1: Diagram - A diagram showing the correct hand placement for the Crede maneuver, with hands cupped over the suprapubic region to apply downward pressure.
Visual 2: Infographic - An infographic comparing the Crede, Leopold, and Burns-Marshall maneuvers, highlighting their different purposes (urologic vs. obstetric) and techniques.
Visual 3: Diagram - A series of four diagrams illustrating the four steps of the Leopold maneuver to contrast it with the Crede maneuver.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Clinical Maneuvers for Bladder and Obstetric Care as background academic context rather than a clinical decision trigger.
The Crede maneuver is a non-invasive method to manage urinary retention, but it carries risks such as bladder discomfort, hematuria, and potentially vesicoureteral reflux or bladder rupture if done too forcefully. It requires a provider's order and proper training.
Nurses must educate patients and caregivers on the correct technique and to apply only gentle, steady pressure, never sharp or forceful pushes.
What if? If a patient with a spinal cord injury has urinary retention and the Crede maneuver is ordered but causes pain or blood in the urine, the nurse must stop immediately, document the finding, and notify the provider. The preferred and safer alternative is often intermittent catheterization.

How to Approach the Question

First, identify the key phrase in the question: 'empty the urine bladder'. This directs you to look for a urological procedure.
Next, evaluate each option based on your knowledge of clinical terminology.
Recall or deduce the purpose of each named maneuver. 'Crede' is associated with the bladder, 'Leopold' with fetal assessment, and 'Burns-Marshall' with delivery.
Eliminate the options related to obstetrics (Leopold, Burns-Marshall).
This leaves the Crede maneuver as the only plausible answer related to bladder emptying, making 'All of above' incorrect.

Concept Tested & Keywords

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