A nurse is caring for a 28-year-old man who returned from the repair of a broken jaw 3 hours earlier. The patient reports an urge to urinate and tried to use the urinal in the bed without success. The best action by the nurse is to
1. Call to obtain an order to catheterize the patient.
2. Perform a digital rectal examination.
3. Assist the patient in standing and using the urinal.
4. Use the bladder scanner to determine the degree of distention.
ANS: 4
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Indicate whether the statement is true or false