A client who has been diagnosed with benign prostatic hypertrophy (BPH) is at the clinic for a follow-up visit and progress check. The nurse is planning care and selects urinary retention as a nursing diagnosis
Which of the following client statements suggested this diagnosis to the nurse? 1. "I know not to take over-the-counter cough medications.".
2. "I need to drink 20 ounces of water at a time.".
3. "I use the double-voiding technique.".
4. "I am aware that no urine output is not a good symptom.".
2. "I need to drink 20 ounces of water at a time.".
Rationale:
A single intake of a large volume of fluid results in rapid bladder filling and a risk for retention. Over-the-counter decongestants increase the risk for urinary retention. Clients are taught the double-voiding technique to help avoid urinary retention. No urine output is a sign that requires immediate medical attention, not just the diagnosis urinary retention.
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