ATI RN
ATI Nur 105 Fundamentals Exam Questions
Extract:
Question 1 of 5
A nurse is caring for a client who has not voided for 8 hr following the removal of an indwelling urinary catheter. Which of the following actions should be the nurse take first?
Correct Answer: C
Rationale: The correct answer is C: Perform a bladder scan. This is the first action the nurse should take to assess the client's bladder volume and determine if there is urinary retention. If the bladder scan shows a significant volume of urine, it may indicate the need for catheterization (choice
B). Providing assistance to the bathroom (choice
A) may not address the underlying issue of urinary retention. Increasing fluids (choice
D) may be helpful but should not be the first action without assessing the bladder volume.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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