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    Fundamentals Proctored Exam

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    Question: 1 of 40Fundamentals Proctored Exam
    The patient reports feeling an urge to urinate even though an indwelling urinary catheter is in place. Which is the priority action of the nurse?
    Explanation
    A. Measure the patient's urinary output: Measuring output is important but not the priority. First, the nurse must ensure that urine can drain freely. B. Ensure that the catheter tubing is not kinked: This is the priority. A kinked catheter can cause bladder distention and discomfort, leading to a sensation of urgency despite the catheter being in place. C. Provide perineal care to the patient for comfort: Comfort is important, but it does not address the potential cause of the urinary sensation. D. Reassure the patient that the sensation is to be expected: Sensation may be expected in some patients, but it’s essential to rule out mechanical obstruction first.
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