Upon palpation, the nurse notices that the bladder is firm and ...

[Chelseaamend]

Upon palpation, the nurse notices that the bladder is firm and distended; the patient expresses an urge to urinate. The nurse should follow up by asking
 
  a. When was the last time you voided?
  b. Do you lose urine when you cough or sneeze?
  c. Have you noticed any change in your urination patterns?
  d. Do you have a fever or chills?

Question 2

Which of the following represents the three phases of a client interview?
 
  a. Introduction, assessment, conclusion
  b. Orientation, documentation, database
  c. Introduction, controlling, selection
  d. Orientation, working, termination

[smrerig]

Answer to Question 1

A
To obtain an accurate assessment, the nurse should first determine the source of the discomfort. Urinary retention causes the bladder to be firm and distended. Further assessment to determine the pathology of the condition can be performed later. Questions concerning fever and chills, changing urination patterns, and losing urine during coughing or sneezing focus on specific pathological conditions.

Answer to Question 2

D
The three phases of a client interview are orientation, working, and termination.
Introduction, assessment, and conclusion are not the three phases of a client interview.
Orientation, documentation, and database are not the three phases of a client interview.
Introduction, controlling, and selection are not the three phases of a client interview.

[Chelseaamend]

TY

[smrerig]

You're welcome