Podcast
Questions and Answers
Which of the following assessment findings would suggest acute urinary retention?
Which of the following assessment findings would suggest acute urinary retention?
- Reports of voiding small amounts of urine with increased frequency.
- Reports of occasional stress incontinence, especially when sneezing.
- Post-void residual urine volume of 60 mL.
- Complaints of lower abdominal pain and a palpable distended bladder. (correct)
A patient is diagnosed with chronic urinary retention. Which post-void residual (PVR) volume would support this diagnosis?
A patient is diagnosed with chronic urinary retention. Which post-void residual (PVR) volume would support this diagnosis?
- 60 mL
- 100 mL (correct)
- 45 mL
- 30 mL
Which of the following is the primary mechanism by which alpha-adrenergic antagonists facilitate bladder emptying?
Which of the following is the primary mechanism by which alpha-adrenergic antagonists facilitate bladder emptying?
- Enhancing the force of detrusor muscle contractions.
- Reducing inflammation and edema in the bladder neck.
- Relaxing the smooth muscle of the urethral sphincter. (correct)
- Increasing fluid intake to promote urine production.
A patient with urinary retention is prescribed tamsulosin (Flomax). The nurse should monitor the patient for which potential side effect?
A patient with urinary retention is prescribed tamsulosin (Flomax). The nurse should monitor the patient for which potential side effect?
Which class of medications should be used cautiously in patients at risk for urinary retention due to their potential to exacerbate the condition?
Which class of medications should be used cautiously in patients at risk for urinary retention due to their potential to exacerbate the condition?
A patient with benign prostatic hyperplasia (BPH) and urinary retention is scheduled for a transurethral resection of the prostate (TURP). What is the primary goal of this surgical intervention?
A patient with benign prostatic hyperplasia (BPH) and urinary retention is scheduled for a transurethral resection of the prostate (TURP). What is the primary goal of this surgical intervention?
During the immediate postoperative period following a pelvic reconstruction surgery, a patient reports an inability to void. What is the priority nursing intervention?
During the immediate postoperative period following a pelvic reconstruction surgery, a patient reports an inability to void. What is the priority nursing intervention?
A patient with urinary retention is being discharged home with intermittent self-catheterization. Which instruction is most important for the nurse to emphasize?
A patient with urinary retention is being discharged home with intermittent self-catheterization. Which instruction is most important for the nurse to emphasize?
A patient with urinary retention is scheduled for urodynamic testing. What information can this diagnostic study provide?
A patient with urinary retention is scheduled for urodynamic testing. What information can this diagnostic study provide?
A patient who has undergone bladder stimulator implantation asks how the device works. What is the nurse's best response?
A patient who has undergone bladder stimulator implantation asks how the device works. What is the nurse's best response?
Which of the following is the most likely initial intervention for a patient presenting with acute urinary retention?
Which of the following is the most likely initial intervention for a patient presenting with acute urinary retention?
A patient with chronic urinary retention is at increased risk for which complication?
A patient with chronic urinary retention is at increased risk for which complication?
A male patient reports difficulty initiating urination, a weak stream, and feeling like his bladder is not completely empty. What is the most likely underlying cause?
A male patient reports difficulty initiating urination, a weak stream, and feeling like his bladder is not completely empty. What is the most likely underlying cause?
Which medication class is LEAST likely to contribute to urinary retention?
Which medication class is LEAST likely to contribute to urinary retention?
What is the primary mechanism by which anticholinergic medications can cause urinary retention?
What is the primary mechanism by which anticholinergic medications can cause urinary retention?
A post-operative patient is unable to void 8 hours after surgery and reports lower abdominal discomfort. What is the MOST appropriate next step in management?
A post-operative patient is unable to void 8 hours after surgery and reports lower abdominal discomfort. What is the MOST appropriate next step in management?
A patient with known urinary retention is being managed with intermittent catheterization. What is the MOST important instruction to provide regarding catheterization technique?
A patient with known urinary retention is being managed with intermittent catheterization. What is the MOST important instruction to provide regarding catheterization technique?
Which of the following assessment findings would be most indicative of chronic urinary retention with overflow?
Which of the following assessment findings would be most indicative of chronic urinary retention with overflow?
What is the most important factor to monitor in a patient with urinary retention who is being treated with a cholinergic medication?
What is the most important factor to monitor in a patient with urinary retention who is being treated with a cholinergic medication?
A patient with urinary retention secondary to benign prostatic hyperplasia (BPH) is considering treatment options. Which medication class is most likely to directly address the underlying cause of his retention?
A patient with urinary retention secondary to benign prostatic hyperplasia (BPH) is considering treatment options. Which medication class is most likely to directly address the underlying cause of his retention?
A patient experiencing urinary retention is looking for immediate relief at home. Which of the following actions is most appropriate for the nurse to suggest?
A patient experiencing urinary retention is looking for immediate relief at home. Which of the following actions is most appropriate for the nurse to suggest?
A patient is being discharged with instructions on managing chronic urinary retention using behavioral methods. Which intervention should the nurse emphasize as most important?
A patient is being discharged with instructions on managing chronic urinary retention using behavioral methods. Which intervention should the nurse emphasize as most important?
A patient is diagnosed with urinary retention. How should the nurse explain this condition to the patient?
A patient is diagnosed with urinary retention. How should the nurse explain this condition to the patient?
Which nursing intervention is most important when caring for a patient with an indwelling urinary catheter?
Which nursing intervention is most important when caring for a patient with an indwelling urinary catheter?
A post-operative patient is having difficulty voiding. Which nursing action is least likely to promote voiding?
A post-operative patient is having difficulty voiding. Which nursing action is least likely to promote voiding?
A nurse is teaching a patient about double voiding to manage urinary retention. Which instruction is most important for the nurse to include?
A nurse is teaching a patient about double voiding to manage urinary retention. Which instruction is most important for the nurse to include?
A patient with urinary retention is prescribed intermittent catheterization. What is the primary goal of this intervention?
A patient with urinary retention is prescribed intermittent catheterization. What is the primary goal of this intervention?
Which of the following instructions should a nurse provide to a patient who is experiencing difficulty urinating, unless contraindicated?
Which of the following instructions should a nurse provide to a patient who is experiencing difficulty urinating, unless contraindicated?
Besides scheduled toileting, which intervention is most helpful in managing chronic urinary retention?
Besides scheduled toileting, which intervention is most helpful in managing chronic urinary retention?
Flashcards
Urinary Retention
Urinary Retention
Inability to completely empty the bladder.
Acute Urinary Retention
Acute Urinary Retention
Complete inability to pass urine; requires immediate intervention.
Chronic Urinary Retention
Chronic Urinary Retention
Incomplete bladder emptying, even after urination.
Bladder Outlet Obstruction
Bladder Outlet Obstruction
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Deficient Detrusor Contraction
Deficient Detrusor Contraction
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Double Voiding
Double Voiding
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α-Adrenergic Antagonists
α-Adrenergic Antagonists
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Anticholinergics
Anticholinergics
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Surgical Interventions for Urinary Retention
Surgical Interventions for Urinary Retention
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Bladder Stimulator
Bladder Stimulator
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Warming Up Before Urinating
Warming Up Before Urinating
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Alcohol and Urination
Alcohol and Urination
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Coffee/Tea for Urgency
Coffee/Tea for Urgency
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Warm Water and Urination
Warm Water and Urination
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Correct Voiding Position
Correct Voiding Position
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Pelvic Floor Exercises
Pelvic Floor Exercises
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Scheduled Toileting
Scheduled Toileting
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Fluid Intake with Catheter
Fluid Intake with Catheter
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