Question

Mrs. Singh, 56 years old, reports pain in her lower abdomen. Her lower abdomen, distended and tender upon palpation. What should the practical nurse do first?

a) Assess whether the client has been drinking enough fluids.

b) Insert catheter and reassess the client’s discomfort.

c) Ask the client to void and assess for dark amber urine.

d) Assess the client’s bladder for urinary retention.

Answer 1

Answer

d) Asess the client s bladder for urinary retention

Reason-The primary manifestation of urinary retention is a distended bladder or an inability to empty the bladder completely ,The retained urine increase the hydrostatic pressure against the bladder wall which result in hypertrophy of the detrusor muscle. After assessing the patient for urinary retention ,the catheterization should be done to drain the urine The dark amber urine indicates the dehydration. it will not cause abdominal distention.