A patient has an indwelling catheter removed at 08:00. Which finding should the nurse report first?
Correct answer: B. No urine output and increasing lower abdominal discomfort
- A. A small amount of burning with the first void
- B. No urine output and increasing lower abdominal discomfort
- C. The patient asks for help walking to the toilet
- D. The patient voids 150 mL four hours later
Explanation
Absent urine with increasing suprapubic discomfort after catheter removal suggests recurrent urinary retention and requires prompt assessment. Mild transient burning may occur, while a 150 mL void indicates that urination has resumed.
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About Elimination and Catheterisation
Elimination care covers normal bowel and urinary patterns, constipation, diarrhoea, incontinence, retention, enemas, ostomies and specimen collection. Catheterisation includes indications, catheter types, insertion principles, drainage-bag care and prevention of urinary infection, with attention to the difference between urinary retention and incontinence.
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