The nurse is caring for a client with benign prostatic hyperplasia (BPH) and a markedly distended bladder who is agitated and confused. Which of the following interventions prescribed by the health care provider should the nurse implement first?
A)Insert a urinary retention catheter.
B)Schedule an intravenous pyelogram.
C)Administer lorazepam 0.5 mg PO.
D)Draw blood for blood urea nitrogen (BUN) and creatinine testing.

Question

Quizplus · Accepted Answer

The client's history and clinical manifestations are consistent with acute urinary retention, and the priority action is to relieve the retention by catheterization. The BUN and creatinine measurements can be obtained after the catheter is inserted. The client's agitation may resolve once the bladder distention is corrected, and sedative drugs should be used cautiously in older clients. The IVP is an appropriate test, but does not need to be done urgently.

The Nurse Is Caring for a Client with Benign Prostatic