A patient is unable to void on demand for a clean-voided specimen. What is the appropriate action by the nurse?
a. Notify the provider that the patient has anuria.
b. Palpate the suprapubic area for retained urine.
c. Catheterize the patient to obtain the urine specimen.
d. Offer fluids, if allowed, and wait about 30 minutes.
D
The nurse encourages the patient to drink fluids to fill the bladder so the patient can produce a clean-voided urine specimen. The nurse implements this first because it is noninvasive and it is the most likely cause of being unable to void. Notifying the healthcare provider of anuria is pre-mature. Palpating the bladder to determine urine volume is inappropriate for this procedure. Ca-theterizing is an invasive procedure and increases the risk of patient infection.
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What will be an ideal response?
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