A client is in the emergency department after experiencing kidney trauma. The abdomen is tender and distended, and blood is visible at the urinary meatus. Which action by the nurse is most appropriate?
a. Assess vital signs and abdominal pain every 5 to 15 minutes.
b. Consult with the provider before inserting a catheter.
c. Monitor the client's IV rate and prepare to give blood.
d. Assist with obtaining informed consent for surgery if needed.
B
Clients with blood at the urinary meatus should not have a urinary catheter inserted via the urethra before additional diagnostic studies are done. The urethra could be torn. The nurse should question the provider about the need for a catheter; if one is needed, the provider can insert a su-prapubic catheter. The other options are appropriate interventions.
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