Which should the nurse implement first if the client is unable to void on demand for a clean-voided specimen?
1. Notify the provider that the client has anuria.
2. Palpate the suprapubic area for retained urine.
3. Catheterize the client to obtain the urine specimen.
4. Offer fluids, if allowed, and wait about 30 minutes.
4
4. The nurse encourages the client to drink fluids to fill the bladder so the client can produce a clean-voided urine specimen. The nurse implements this first because it is noninvasive and it is the most likely cause.
1. Notifying the provider of anuria is premature.
2. After the fluid bolus, the nurse can palpate or percuss the bladder to determine urine volume.
3. Catheterizing is an invasive procedure and increases the risk of client infection.
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