The nurse will check for residual urine following the first void after removal of the client's catheter
At the same time the client voids, the nurse needs to administer routine medication, give an analgesic to a client in pain, and initiate IV therapy on another client. Which of these is the priority action? 1. Administer the analgesic.
2. Initiate the IV.
3. Pass routine medications.
4. Catheterize the client.
4
Rationale: In order for the measurement of residual urine to be accurate, the catheter must be passed immediately after voiding. If the catheter is not passed for 15-20 minutes after voiding, it will be impossible to know if the urine has been produced since voiding or whether it is indeed residual urine.
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