Urinary Retention Questions
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Questions and Answers

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?

  • 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?

  • 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?

<p>Orthostatic hypotension (D)</p> Signup and view all the answers

Which class of medications should be used cautiously in patients at risk for urinary retention due to their potential to exacerbate the condition?

<p>Alpha-adrenergic agonists (B)</p> Signup and view all the answers

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?

<p>To remove the portion of the prostate gland causing obstruction. (A)</p> Signup and view all the answers

During the immediate postoperative period following a pelvic reconstruction surgery, a patient reports an inability to void. What is the priority nursing intervention?

<p>Performing intermittent catheterization as prescribed. (A)</p> Signup and view all the answers

A patient with urinary retention is being discharged home with intermittent self-catheterization. Which instruction is most important for the nurse to emphasize?

<p>Use clean technique to reduce the risk of infection. (D)</p> Signup and view all the answers

A patient with urinary retention is scheduled for urodynamic testing. What information can this diagnostic study provide?

<p>The rate of urine flow and bladder pressure during voiding. (C)</p> Signup and view all the answers

A patient who has undergone bladder stimulator implantation asks how the device works. What is the nurse's best response?

<p>It uses electrical impulses to stimulate the nerves that control bladder function. (C)</p> Signup and view all the answers

Which of the following is the most likely initial intervention for a patient presenting with acute urinary retention?

<p>Insertion of a urinary catheter to drain the bladder. (B)</p> Signup and view all the answers

A patient with chronic urinary retention is at increased risk for which complication?

<p>Urinary tract infections. (C)</p> Signup and view all the answers

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?

<p>Prostate enlargement. (D)</p> Signup and view all the answers

Which medication class is LEAST likely to contribute to urinary retention?

<p>Loop Diuretics (C)</p> Signup and view all the answers

What is the primary mechanism by which anticholinergic medications can cause urinary retention?

<p>Blocking parasympathetic nerve impulses to the bladder. (B)</p> Signup and view all the answers

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?

<p>Perform a bladder scan to quantify urine volume. (C)</p> Signup and view all the answers

A patient with known urinary retention is being managed with intermittent catheterization. What is the MOST important instruction to provide regarding catheterization technique?

<p>Use lubricant to minimize urethral trauma. (B)</p> Signup and view all the answers

Which of the following assessment findings would be most indicative of chronic urinary retention with overflow?

<p>Constant dribbling of urine and a palpable bladder after voiding. (A)</p> Signup and view all the answers

What is the most important factor to monitor in a patient with urinary retention who is being treated with a cholinergic medication?

<p>Urine output to assess medication effectiveness. (A)</p> Signup and view all the answers

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?

<p>Alpha-blockers to relax smooth muscle in the prostate and bladder neck. (B)</p> Signup and view all the answers

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?

<p>Drink a cup of coffee or brewed caffeinated tea. (D)</p> Signup and view all the answers

A patient is being discharged with instructions on managing chronic urinary retention using behavioral methods. Which intervention should the nurse emphasize as most important?

<p>Maintaining a voiding schedule every 3 to 4 hours (C)</p> Signup and view all the answers

A patient is diagnosed with urinary retention. How should the nurse explain this condition to the patient?

<p>Inability to void (A)</p> Signup and view all the answers

Which nursing intervention is most important when caring for a patient with an indwelling urinary catheter?

<p>Encouraging generous fluid intake if not contraindicated. (B)</p> Signup and view all the answers

A post-operative patient is having difficulty voiding. Which nursing action is least likely to promote voiding?

<p>Encouraging the patient to ignore the urge to void until the bladder is full. (A)</p> Signup and view all the answers

A nurse is teaching a patient about double voiding to manage urinary retention. Which instruction is most important for the nurse to include?

<p>Wait 5-10 minutes after the first void before attempting to void again. (B)</p> Signup and view all the answers

A patient with urinary retention is prescribed intermittent catheterization. What is the primary goal of this intervention?

<p>To empty the bladder completely at regular intervals thus preventing distension (B)</p> Signup and view all the answers

Which of the following instructions should a nurse provide to a patient who is experiencing difficulty urinating, unless contraindicated?

<p>Warm up prior to attempting to urinate. (D)</p> Signup and view all the answers

Besides scheduled toileting, which intervention is most helpful in managing chronic urinary retention?

<p>Performing pelvic floor exercises (B)</p> Signup and view all the answers

Flashcards

Urinary Retention

Inability to completely empty the bladder.

Acute Urinary Retention

Complete inability to pass urine; requires immediate intervention.

Chronic Urinary Retention

Incomplete bladder emptying, even after urination.

Bladder Outlet Obstruction

Blockage preventing urine from exiting the bladder.

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Deficient Detrusor Contraction

Weak bladder muscle unable to contract strongly enough to empty the bladder.

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Double Voiding

Double voiding aims to completely empty the bladder by voiding a second time after a short wait.

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α-Adrenergic Antagonists

These drugs relax the urethral sphincter to improve urine flow.

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Anticholinergics

These drugs can worsen urinary retention.

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Surgical Interventions for Urinary Retention

Procedures to correct obstructions or structural problems affecting bladder function.

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Bladder Stimulator

Device stimulating bladder muscles to promote urination.

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Warming Up Before Urinating

Warming up can help stimulate urination.

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Alcohol and Urination

Excessive alcohol can interfere with bladder control.

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Coffee/Tea for Urgency

Caffeinated drinks can increase the urge, acting as a mild diuretic.

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Warm Water and Urination

Warm water can relax muscles and promote urination.

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Correct Voiding Position

Adopting the correct posture can facilitate complete bladder emptying.

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Pelvic Floor Exercises

Strengthening pelvic floor muscles helps improve bladder control.

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Scheduled Toileting

Voiding at regular intervals helps prevent overfilling and urgency.

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Fluid Intake with Catheter

Encouraging generous fluid intake supports kidney function and prevents concentrated urine (if not contraindicated).

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