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colleen colleen
wrote...
Valued Member
Posts: 17076
11 years ago
A nurse is reviewing laboratory data for a patient who had a voiding cystogram that revealed an urge to void at 100 mL. Which of these nursing diagnoses should receive priority for this patient?
1. Risk for Urge Urinary Incontinence
2. Risk for Impaired Skin Integrity
3. Self-Care Deficit
4. Risk for Urinary Retention
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Sunshine ☀ ☼

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Replies
wrote...
Valued Member
11 years ago
1 -- A voiding cystogram is conducted to evaluate bladder capacity and neuromuscular functions of the bladder, urethral pressures, and causes of bladder dysfunction. A measured quantity of fluid is instilled into the bladder, and the filling capacity and voiding pressures are measured. Normal values: urine stream strong and uninterrupted, normal filling pattern, and sensation of fullness; bladder capacity: 300-600 mL; urge to void: >150 mL; fullness felt: 300 mL. A patient who has a sensation of an urge to void at 100 mL is at greatest Risk for Urge Urinary Incontinence. Risk for Impaired Skin Integrity, Self-Care Deficit, and Risk for Urinary Retention would not be appropriate diagnoses for the patient with these test results.
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