To assess for a distended bladder, the nurse would:
1. auscultate the abdominal area.
2. palpate the abdomen for tenderness.
3. percuss the abdomen.
4. evaluate the tissue turgor.
3
The assessment skill needed to determine if the bladder is distended will avoid the risk of an overdistended bladder as well as enhance the comfort level of the patient.
PTS: 1 DIF: Cognitive Level: Analysis REF: 842
OBJ: 1 TOP: Urinary Assessment
KEY: Nursing Process Step: Assessment MSC: NCLEX: Physiological Integrity
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