Adult Health 2 Exam 1

The nurse is assessing an older resident with a history of Benign Prostatic Hypertrophy and identifies a distended bladder. What should the nurse do?

A. Stand the client to void and run tap water within hearing distance before catheterizing

B. Straight catheterize and if the residual urine volume is greater than 100 mL, clamp catheter

C. Catheterize q2h and place in an indwelling catheter at the end of the prescribed 24hr period

D. Catheterize with an indwelling catheter and if the residual volume is greater than 100 mL, inflate the balloon

Test Board