A patient with a spinal cord injury has a distended lower abdomen and has passed only a small amount of urine. Which assessment is most useful initially?
Correct answer: A. Measure the bladder volume with a portable bladder scanner
- A. Measure the bladder volume with a portable bladder scanner
- B. Offer large amounts of oral fluid before checking the bladder
- C. Insert an indwelling catheter without assessing the cause
- D. Apply pressure over the lower abdomen to express urine
Explanation
A bladder scanner helps identify urinary retention without immediately using an invasive procedure. Catheterisation may be required after assessment and prescription, while abdominal pressure can cause injury or reflux and should not be used routinely.
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About Neurological Nursing
Covers nursing assessment and management of stroke, epilepsy, meningitis, raised intracranial pressure, head injury, spinal cord disorders, Parkinson disease and multiple sclerosis. Key areas include level of consciousness, pupil responses, motor and sensory findings, seizure precautions and distinguishing upper motor neuron from lower motor neuron signs.
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