The nurse has implemented a bladder retraining program after removing an indwelling urinary catheter from a patient

Question

The nurse places the patient on a timed voiding schedule and performs an ultrasonic bladder scan after each void. The nurse notes that the patient has 50 mL of urine remaining in her bladder after voiding. The nurse's best response to this finding is to:
A) Perform a straight catheterization on this patient
B) Avoid further interventions at this time, as this is an acceptable finding
C) Place an indwelling urinary catheter
D) Press on the patient's bladder in an attempt to encourage complete emptying

Answer 1

Ans: B
Feedback: The residual urine amount is acceptable, and intervention is not required by the nurse. Retraining the bladder begins immediately after the indwelling catheter is removed. The patient is placed on a timed voiding schedule, usually every 2 to 3 hours; at the given time intervals, the patient is instructed to void. The bladder is then scanned using a portable ultrasonic bladder scanner. If 100 mL or more of urine remains in the bladder, straight catheterization may be performed for complete bladder emptying.