When caring for a client who has recently delivered, the nurse assesses the client for urinary retention with overflow. Which of the following provides the most accurate picture of retention with overflow
A．Frequent trips to the bathroom with an average output of 200 to 300 mL per void.
B．Intense urge to urinate with an average output of 250 mL.
C．A varying urge to urinate with an average output of 100 mL.
D．Uterus displaced to the right with increased vaginal bleeding.
参考答案：C
解析：Retention with overflow is a commonly missed nursing assessment. Because the client may be voiding and may not have an urge to void doesn't mean that bladder function has been properly restored. A varying urge to urinate with an average urine output of 100 mL is a classic picture of a client whose bladder is distended and needs to be catheterized to restore normal function.
