The nurse is assessing a client brought to the emergency department for systemic complications after a traumatic event. Which assessment finding is most suggestive of an intact urinary tract?

A) The nurse notes no abnormalities on abdominal inspection.
B) The client states diffuse abdominal pain.
C) Urine output is pink and noted at 300 mL.
D) The physician notes urine leakage upon palpation.


C
Feedback:
The best evidence of an intact urinary tract is voiding in sufficient quantities. Even though the client's urine contains blood, the tract could be intact. Inspection and palpation provide data but not specific enough. The client stating pain also provides data.

Nursing

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