Asked by Kelley Feagin on Jul 29, 2024
Verified
The nurse is caring for a patient who feels the urge to urinate but is unable to void.Which is the appropriate action of the nurse?
A) Scan the patient's bladder to see how much urine is present.
B) Obtain a urine sample for urinalysis,culture,and sensitivity.
C) Perform a focused physical assessment of the patient's perineum.
D) Help the patient to utilize absorbent undergarments for protection.
Urge To Urinate
A strong need to urinate, which may indicate a full bladder or a medical condition affecting urinary functions.
Urinalysis
A test conducted on urine to detect diseases, disorders, or drug use by examining its content.
Absorbent Undergarments
Clothing items designed to absorb and contain bodily fluids, commonly used for incontinence.
- Display suitable nursing interventions for issues related to catheterization.
Verified Answer
LN
Laurley NevilJul 31, 2024
Final Answer :
A
Explanation :
The appropriate action of the nurse is to scan the patient's bladder to determine how much urine is present.The nurse may need to catheterize the patient if a very large amount of urine is in the bladder or encourage fluids if there is minimal urine present.Assessment of the perineum will not assist the patient to void.The nurse will not be able to send a urine sample until the patient voids or is catheterized.Absorbent undergarments are not needed if the patient is unable to void.
Learning Objectives
- Display suitable nursing interventions for issues related to catheterization.