A client who has an enlarged prostate gland tells the nurse he feels like his bladder is not completely empty after voiding, and his health care provider requests a check for residual urine. Which of these nursing actions is correct?

a. Catheterize him immediately after he voids, and record the amount obtained.
b. Have him measure his voidings in sequentially numbered containers and record the amount and time of each voiding.
c. Insert a retention catheter, and connect it to a bedside collection unit.
d. Keep an accurate intake and output (I&O), and subtract and record the difference be-tween the intake and the output for each 8-hour shift.


A
The distended bladder can be palpated above the symphysis. The nurse should check for residual urine when the client does void. The way to check for residual urine is by catheterization.

Nursing

You might also like to view...

A family is preparing for travel and the parents report that their 5-year-old child has frequent motion sickness. The nurse will tell the parents to ask the provider about which antihistamine to help prevent symptoms?

a. Desloratadine [Clarinex] b. Dimenhydrinate [Dramamine] c. Hydroxyzine [Vistaril] d. Promethazine [Phenergan]

Nursing

The nurse is exploring the behavior of children and how they interpret right from wrong or bad from good. Which theorist should the nurse study to learn this information?

1. Vygotsky 2. Skinner 3. Kohlberg 4. Piaget

Nursing

The best approach when assessing a toddler in a clinic would include which element(s)?

1. Assess the child in his or her comfort zone, usually in a parent's lap. 2. Ask the parent to step out of the room in order to ask the child sensitive questions. 3. Do the most invasive element(s) of the assessment first to get the scary parts out of the way. 4. All of the above

Nursing

A client had an anterior pituitary tumor removed a few years ago and is curious if this will affect her future ability to become pregnant. What is the best response by the nurse to this client?

1. "You shouldn't have any problems at all because you still have your ovaries and uterus." 2. "You might have trouble getting pregnant. The hormones necessary for stimulating the ovaries are contained in the anterior pituitary." 3. "You will have trouble getting pregnant because the anterior pituitary secretes gonadotropin-releasing hormone (GnHR), which is necessary for conception." 4. "You shouldn't have any problems at all. The important hormones for conception are contained in the posterior pituitary."

Nursing