The nurse evaluates the effectiveness of the patient's intermittent urinary catheterization for residual urine. Which of the following requires follow-up nursing intervention?
a. The patient is passing urine in the bath-room.
b. The urine is clear yellow and without odor.
c. The bladder is nonpalpable above the pubic bone.
d. The patient complains of frequency and urgency.
D
Patient complaints of frequency and urgency are consistent with clinical indicators of a bladder infection, which indicates that the intermittent catheterization has been ineffective. Follow-up nursing interventions include increasing patient fluids to dilute and flush out urinary pathogens and collaborating with the provider for potential alterations to the therapeutic regimen, including urine culture and sensitivity. If the patient passes urine in the bathroom, he or she has enough bladder control to reach the bathroom before urinating, which is consistent with clinical indica-tors of normal urinary function. Normal urine is clear, yellow, and without strong odors and in-dicates that intermittent urinary catheterization is effective therapy. A nonpalpable bladder indi-cates an empty bladder and effective intermittent urinary catheterization.
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