The nurse is caring for a patient with urinary retention. Which measure(s) should the nurse take when assisting the patient to void? (select all that apply.)

a. Accompany the patient to the toilet.
b. Offer the patient tea or soda.
c. Provide a warm bath.
d. Discourage the double void technique.
e. Run water in the lavatory.


B, C, E
Acceptable interventions when assisting a patient to void include offering a caffeinated or car-bonated beverage, and providing a warm bath or running water in the lavatory to stimulate urina-tion. The patient should be given privacy and adequate time to void. The nurse should instruct the patient to utilize the double void technique (void, sit on the toilet for several minutes, and void again).

Nursing

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