The nurse is teaching an adult client who is participating in rehabilitation for bladder retraining. Which of the following amounts of urine would cause the bladder to distend above the symphisis pubis?
1. 100 ml
2. 200 ml
3. 500 ml
4. 700 ml
4
Rationale 1: 100 ml is not enough urine to cause bladder distention. When more than 500 ml of urine is present, the bladder becomes distended and rises above the symphysis pubis.
Rationale 2: 200 ml is not enough urine to cause bladder distention. When more than 500 ml of urine is present, the bladder becomes distended and rises above the symphysis pubis.
Rationale 3: Greater than 500 ml of urine in the bladder causes the bladder to become distended and rise above the symphysis pubis.
Rationale 4: Since greater than 500 ml of urine in the bladder causes the bladder to become distended and rise above the symphysis pubis, 700 ml would cause bladder distention.
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