The nurse is visiting the client who has a nursing diagnosis of urinary retention.Upon assessment the nurse anticipates that this client will exhibit:

Question

Quizplus · Accepted Answer

With urinary retention,urine continues to collect in the bladder,stretching its walls and causing feelings of pressure,discomfort,tenderness over the symphysis pubis,restlessness,and diaphoresis.The sphincter temporarily opens to allow a small volume of urine (25 to 60 mL)to escape,with no real relief of discomfort.Severe flank pain and hematuria are supporting data for an upper urinary tract infection (pyelonephritis).Pain and burning on urination are symptoms of a lower urinary tract infection (such as a bladder infection).Supportive data for reflex incontinence would include a loss of the urge to void.

The Nurse Is Visiting the Client Who Has a Nursing