The nurse is caring for four clients on a urinary medical unit. For which client does the nurse need no further medical interventions?
A) The client has pain of 7 out of 10 in the mid-abdomen.
B) The client has a residual urine of 90 mL on a bedside ultrasound bladder scan.
C) The client has a WBC count of 15,000 on recent lab reports.
D) The client is unable to void in the morning hours.
B
Feedback:
A residual urine in the bladder of 90 mL is not considered urinary retention and would need no further follow-up at this time. Client symptoms of pain need a medical order for medication. An elevated WBC count would need the attention of the physician. The client should be able to void in the morning hours especially after the night. Further interventions may be necessary.
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