The nurse is participating in a bladder retraining program for a patient who had an indwelling catheter for 2 weeks. The nurse knows that, during this process, straight catheterization, after catheter-free intervals, can be discontinued when residual urine is:
a) 500 mL
b) 400 mL
c) <100 mL
d) 200 mL
Answer: c) <100 mL
Residual urine greater than 100 mL is considered diagnostic of urinary retention. Refer to Box 28-9 in the text.
You might also like to view...
Which can the nurse safely delegate to the unlicensed assistive personnel (UAP)?
1. Initial assessment of pain 2. Regular reassessment of pain 3. Providing a massage and repositioning the client in pain 4. Administration of an oral analgesic
The nurse cares for a client with urinary incontinence. Which client statement most concerns the nurse?
1. "Every time I cough or sneeze, I urinate on myself a little." 2. "I have never had urinary incontinence before this week." 3. "I experience a strong urge to urinate but cannot make it to the bathroom." 4. "I have had several accidents because I just couldn't get up fast enough."
The perinatal nurse provides a hospital tour for couples and families preparing for labor and birth in the future. Teaching is an important component of the tour
Information provided about preterm labor and birth prevention includes: Select all answers that apply: A) Encouraging regular, on-going prenatal care B) Reporting symptoms of urinary frequency and burning to the health care provider C) Coming to the labor triage unit if back pain or cramping persist or become regular D) Lying on the right side, withholding fluids and counting fetal movements if contractions occur every five minutes
What disorder of speech does he have?
A 72-year-old African-American male is brought to your clinic by his daughter for a follow-up visit after his recent hospitalization. He had been admitted to the local hospital for speech problems and weakness in his right arm and leg. On admission his MRI showed a small stroke. The patient was in rehab for 1 month following his initial presentation. He is now walking with a walker and has good use of his arm. His daughter complains, however, that everyone is still having trouble communicating with the patient. You ask the patient how he thinks he is doing. Although it is hard for you to make out his words you believe his answer is “well . . . fine . . . doing . . . okay.” His prior medical history involved high blood pressure and coronary artery disease. He is a widower and retired handyman. He has three children who are healthy. He denies tobacco, alcohol, or drug use. He has no other current symptoms. On examination he is in no acute distress but does seem embarrassed when it takes him so long to answer. His blood pressure is 150/90 and his other vital signs are normal. Other than his weak right arm and leg his physical examination is unremarkable. A) Wernicke's aphasia B) Broca's aphasia C) Dysarthria