A client is ordered bethanechol chloride (Urecholine) for urinary retention. A nurse is adding up the client's intake and output for the 8-hour shift. The client's I = 850 mL, O = 350 mL. What should the nurse do?
a. Administer an extra dose of bethanechol.
b. Palpate the client's bladder.
c. Increase the client's fluid intake.
d. Continue the plan of care.
ANS: B
The client's output is adequate but does not match the intake. The nurse should assess for bladder distention and retention.
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