A patient with multiple sclerosis has urinary urgency, leg weakness and difficulty emptying the bladder. Which assessment is most important before planning bladder care?
Correct answer: A. Measure residual urine after the patient voids
- A. Measure residual urine after the patient voids
- B. Restrict all fluids after the evening meal
- C. Insert an indwelling catheter without assessment
- D. Encourage the patient to delay voiding for several hours
Explanation
Post-void residual measurement identifies urinary retention caused by neurogenic bladder dysfunction and guides safe management. Routine fluid restriction, delayed voiding and catheter insertion without assessment can increase complications such as infection and overdistension.
Report an error
The more specific you are, the faster it gets fixed. A source beats an opinion.
Prefer email? support@testustad.com
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.
Practise Neurological Nursing
50 free Neurological Nursing MCQs from Medical Surgical Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
Discussion
Stuck on an option, or know a faster way to get there? Ask or explain it here.
No comments yet. Be the first to explain this one.
Exams that ask Medical Surgical Nursing questions like this
Medical Surgical Nursing is on 8 papers prepared for on TestUstad, and all of them draw the same bank, so this question is worth knowing for every one of them.
More Neurological Nursing questions
A patient with Parkinson disease freezes while beginning to walk. Which nursing instruction is most helpful?
A patient with a recent high thoracic spinal cord injury has a blood pressure of 78/44 mmHg, a pulse of 48 beats per minute and warm, dry skin. Which complication should the nurse suspect?
A patient with a closed head injury has clear fluid draining from one nostril. What should the nurse do?
Which finding is most consistent with a lower motor neuron lesion?
A patient with an acute spinal cord injury cannot feel pinprick below the umbilicus but can move both legs weakly. Which documentation is most useful for monitoring neurological change?
Which clinical sign is commonly associated with meningeal irritation in an adult patient with meningitis?