A patient with urinary retention has a bladder scan showing 850 mL of urine and severe lower abdominal discomfort. Which prescription should the nurse clarify before carrying it out?
Correct answer: D. Encourage the patient to drink two litres immediately
- A. Insert a prescribed urinary catheter
- B. Measure urine output after drainage
- C. Assess the abdomen for bladder distension
- D. Encourage the patient to drink two litres immediately
Explanation
Large additional fluid intake may worsen bladder distension when the patient cannot empty the bladder. Relieving the retention as prescribed, measuring output, and reassessing the abdomen are appropriate nursing actions.
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About Renal and Urological Nursing
Covers assessment and care for urinary tract infection, glomerulonephritis, nephrotic syndrome, acute kidney injury, chronic kidney disease, renal stones and urinary obstruction. The subject includes intake and output, urinalysis, fluid restriction, dialysis care and the difference between prerenal, intrinsic and postrenal kidney injury.
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