The Nurse Notes That a Patient Who Has a Large

question 39

Multiple Choice

The nurse notes that a patient who has a large cystocele,admitted 10 hours ago,has not yet voided.Which action should the nurse take first?

• A) Insert a straight catheter per the PRN order.
• B) Encourage the patient to increase oral fluids.
• C) Notify the health care provider of the inability to void.
• D) Use an ultrasound scanner to check for urinary retention.