Which indication below is NOT an appropriate indication for indwelling bladder catheterization in the ICU?A. Management of urinary incontinence
Correct Answer: A
Unwarranted urinary catheter placement is very common, occurring in approximately 20% to 50% of hospitalized patients. Urinary catheters should not be placed for the management of urinary incontinence alone (Answer A). Answers B, C, and D represent appropriate indications for catheter placement. Other appropriate indications include management of urinary retention, hematuria associated with clots, open wounds of the sacrum or perineum with associated urinary incontinence, surgery of the genitourinary tract and associated structures, end-of-life care, and occasionally for management of patients with persistent urinary incontinence after conservative, behavioral, pharmacologic, and surgical measures have failed. Regardless of the indication for catheter placement, catheters should be removed as soon as the condition leading to the indication for catheterization has resolved.