The nurse evaluates the effectiveness of the client's intermittent urinary catheterization for residual urine. Which client datum does the nurse determine requires follow-up nursing interven-tions?

Question

1. Client passing urine in the bathroom
2. Urine clear yellow and without odor
3. Nonpalpable bladder above pubic bone
4. Complaints of frequency and urgency

Answer 1

4
4. Client complaints of frequency and urgency are consistent with clinical indicators of a bladder infection; thus, intermittent catheterization is ineffective preventive therapy for the client's residual urine. If the intermittent catheterization was effective, the client would pass urine without pain, burning, frequency, or urgency, and the urine would be clear, without infection. Follow-up nursing interventions include in-creasing client fluids to dilute and flush out urinary pathogens and collaborating with the provider for potential alterations to the therapeutic regimen, including urine cul-ture and sensitivity.
1. If the client passes urine in the bathroom, the client has enough bladder control to reach the bathroom before urinating, which is consistent with clinical indicators of normal urinary function.
2. Normal urine is clear, yellow, and without strong odors and indicates the intermit-tent urinary catheterization is effective therapy.
3. By draining the residual urine, the nurse prevents a bladder infection and restores bladder tone and function, resulting in client ability to empty the bladder. A non-palpable bladder indicates an empty bladder and effective intermittent urinary cathe-terization.