A patient has been brought to the ED after suffering genitourinary trauma in an assault. Initial assessment reveals that the patient's bladder is distended. What is the nurse's most appropriate action?
A) Withhold fluids from the patient.
B) Perform intermittent urinary catheterization.
C) Insert a narrow-gauge indwelling urinary catheter.
D) Await orders following the urologist's assessment.
Ans: D
Feedback:
Urethral catheter insertion when a possible urethral injury is present is contraindicated; a urology consultation and further evaluation of the urethra are required. The nurse would withhold fluids, but urologic assessment is the priority.
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