Difficulty: Medium
Average Score: 81%
Simulated
A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?
Correct answer
D
Rationale
The correct answer is D: Temporary urinary retention. After catheter removal, it is common for the bladder muscles to be temporarily weakened or uncoordinated, leading to difficulty in fully emptying the bladder. This can cause temporary urinary retention. Assessing the client for this outcome is crucial to prevent complications like urinary retention, urinary tract infections, or bladder distension.
Explanation for other choices:
A: Urinary frequency for several days - Unlikely after catheter removal unless there is an underlying condition.
B: Blood-tinged urine - May indicate trauma but not a common expected outcome.
C: Highly concentrated urine - Not a typical outcome after catheter removal; hydration status may affect urine concentration.
E, F, G: No additional choices provided.
Explanation for other choices:
A: Urinary frequency for several days - Unlikely after catheter removal unless there is an underlying condition.
B: Blood-tinged urine - May indicate trauma but not a common expected outcome.
C: Highly concentrated urine - Not a typical outcome after catheter removal; hydration status may affect urine concentration.
E, F, G: No additional choices provided.