A nurse catheterizes a client immediately after voiding. The residual volume is 50 mL. What will the nurse do next?
a. Notify the physician.
b. Insert an indwelling catheter.
c. Document the finding in the chart.
d. Modify the bladder training program.
C
This finding is normal. Therefore, the nurse should document the finding and continue with the present bladder training program. The goals of a bladder training program are to avoid the use of an indwelling catheter and to keep the residual volume at less than 100 mL.
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