Which assessment technique provides the most useful data when the nurse is concerned about possible urinary retention?
Auscultate an area six inches below the umbilicus.
Palpate the area above the pubic symphysis.
Measure the girth of the client's lower abdomen.
Observe the appearance of the client's urine.
The Correct Answer is B
A. Auscultating below the umbilicus is not effective for assessing urinary retention.
B. Palpating the area above the pubic symphysis allows the nurse to assess for bladder distention, which is a direct indicator of urinary retention.
C. Measuring the girth of the lower abdomen can be useful but is less specific than palpation for assessing bladder fullness.
D. Observing the urine's appearance does not directly assess for urinary retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Initiating sequential pneumatic compression devices is not immediately relevant to managing acute stroke symptoms.
B. Raising the head of the bed to 30 degrees and keeping the head and neck in neutral alignment helps reduce intracranial pressure and facilitates venous drainage, which is crucial in managing potential stroke patients.
C. Elevating the dependent joints on the affected side is not immediately necessary and does not address the acute neurological symptoms.
D. While obtaining a focused history is important, it should follow after initial stabilization measures such as positioning and securing immediate diagnostic tests.
Correct Answer is ["B","C","D"]
Explanation
A. Applesauce, while nutritious, does not provide a significant amount of iron and is not particularly helpful for addressing milk baby anemia.
B. Fortified whole grain cereals are a good source of iron, which helps in treating anemia.
C. Pureed green beans are a good source of iron and other essential nutrients.
D. Full fat yogurt is a nutritious option but is not particularly rich in iron. However, it can be part of a balanced diet for the infant.
E. Soft dried apricots, while a good source of iron, may not be appropriate for an 11-month-old due to choking hazards.
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