Urinary Incontinence and Retention · NCLEX Exam

What is the most appropriate intervention for a patient with urinary retention due to bladder outlet obstruction?

  1. Encourage regular Kegel exercises as first-line therapy
  2. Insert a urinary catheter to decompress the bladder
  3. Recommend strict fluid restriction to reduce volume
  4. Begin bladder training aimed only at urgency control
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Correct answer: Insert a urinary catheter to decompress the bladder

When retention is due to obstruction, decompression via a catheter is the priority to relieve bladder distension and prevent complications.

Difficulty: Hard Question 4 of 20

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