Question

A client is experiencing urinary retention, and the nurse is inserting an indwelling catheter. Immediately, 750 mL of clear yellow urine is collected in the drainage bag. What should the nurse do next?

A) Continue to drain the bladder until empty.

B) Clamp the catheter for 20 minutes.

C) Remove the catheter and document the output.

D) Pinch the catheter to slow the flow of urine.

Answer 1

The nurse should continue to drain the bladder until empty.

Step-by-step explanation:

Based on the information provided, the nurse should continue to drain the bladder until empty. The immediate collection of 750 mL of clear yellow urine indicates that the client has been retaining a significant amount of urine. Continuing to drain the bladder until empty will ensure that all the retained urine is removed and relieve the client's urinary retention.