medium · NCLEX-RN basic-care
A nurse is assessing a client for urinary retention. Which finding would provide the most objective evidence that the client requires an intervention?
- The client reports a feeling of 'fullness' in the lower abdominal area.
- A bladder scan shows 450 mL of urine remaining after the client voided.
- The client's intake for the shift was 1,200 mL with an output of 800 mL.
- The client has voided 30 mL of amber-colored urine every hour for three hours.
Sign up free to see the explanation and track your rank →
More NCLEX-RN basic-care practice
- Which action is the priority to include in the plan of care?
- Which finding most likely indicates that the client is successfully compensating for the f
- Which task can the nurse safely delegate to an LPN/VN?
- Which laboratory finding would the nurse most likely anticipate as a consequence of this e
- Which statement by the client indicates a correct understanding of the instructions?
- What should the nurse perform next?
- A client has a Braden score of 14, albumin of 2.5 g/dL, and is incontinent of urine. Which
- The nurse is caring for a client with acute lower back pain. Which findings should the nur