Renal Question #49


A male client in intensive care is ordered to have a catheter placement but the nurse is unable to pass the catheter due to narrowing of the lumen of the urethra. The health care provider was notified and confirmed a mechanical narrowing which the nurse interprets as:


  1. Renal calculi.
    • Rationale:
  2. Urethral-induced UTI.
    • Rationale:
  3. Urethral stricture.
    • Rationale:
  4. Urethral STD.
    • Rationale:



Urethral stricture may cause narrowing of the urethra lumen because of scar tissue that may occur as a result of injury/trauma, infection, congenital abnormalities, enlarged prostate, or untreated sexually transmitted diseases. Narrowing may cause difficulty when inserting a foley catheter. The narrowing is not identified as calculi, urethral induced UTI or STD.

Learning Outcomes

Test Taking Tip

Video Rationale