A female patient is having difficulty voiding in a bedpan but states that her bladder feels full. To stimulate micturition, which nursing intervention should the nurse try first?
a. Exiting the room and informing the patient that the nurse will return in 30 minutes to check on the patient's progress.
b. Utilizing the power of suggestion by turning on the faucet and letting the water run.
c. Obtaining an order for a Foley catheter.
d. Administering diuretic medication.
ANS: B
To stimulate micturition, the nurse should attempt noninvasive procedures first. Running warm water or stroking the inner aspect of the upper thigh promotes sensory perception that leads to urination. A patient should not be left alone on a bedpan for 30 minutes because this could cause skin breakdown. Catheterization places the patient at increased risk of infection and should not be the first intervention attempted. Diuretics are useful if the patient is not producing urine, but they do not stimulate micturition.
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