Practice Question
A nurse evaluates a client with benign prostatic hyperplasia (BPH) who voided 60 mL four hours after removal of an indwelling catheter. The client reports suprapubic discomfort. A bladder scan reveals 400 mL of retained urine. Which conclusion should the nurse make from this finding?
Answer Choices:
Correct Answer:
The client is unable to empty the bladder effectively.
Rationale:
🟦 The client voided only 60 mL in 4 hours, which is inadequate for effective bladder emptying.
🟦 A bladder scan showing 400 mL of retained urine indicates significant urinary retention.
🟦 Clients with benign prostatic hyperplasia (BPH) are at high risk for post-catheter urinary retention due to urethral obstruction.
🟦 Suprapubic discomfort is a classic symptom of bladder distention.
🟦 These findings together confirm the bladder is not emptying effectively and require prompt intervention. The client’s urinary output is adequate for this period.
🟦 Normal urine output is approximately 0.5–1 mL/kg/hr, which this client has not met.
🟦 The large residual volume contradicts adequate output.
The client’s post-catheter urinary retention is normal.
🟦 Mild retention can occur briefly, but 400 mL is excessive.
🟦 This level of retention is abnormal and clinically significant.
The client’s discomfort is unrelated to bladder function.
🟦 Suprapubic pain is directly associated with bladder overdistention.
🟦 The scan confirms the discomfort is bladder-related.
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This question is from Chamberlain mastery fundamentals exam which contains 77 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: Examplify Exam(s)
- Domain: Fundamentals
- Answer Choices: 4