A nurse is caring for a male patient with urinary retention. Which action should the nurse take first?
a. Limit fluid intake.
b. Insert a urinary catheter.
c. Assist to a standing position.
d. Ask for a diuretic medication.
ANS: C
In some patients just helping them to a normal position to void prompts voiding. A urinary catheter would relieve urinary retention, but it is not the first measure; other nursing interventions should be tried before catheterization. Reducing fluids would reduce the amount of urine produced but would not alleviate the urine retention and is usually not recommended unless the retention is severe. Diuretic medication would increase urine production and may worsen the discomfort caused by urine retention.
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