Urinary Retention for Certified Emergency Nursing (CEN)
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Included In This Lesson
Study Tools For Urinary Retention for Certified Emergency Nursing (CEN)
Urinary System Anatomy (Cheatsheet)
Elimination device – Urinary catheters (Image)
Anatomy of Urinary System (Image)
Urinary Excretory Anatomy (Picmonic)
Outline
Urinary Retention
Definition/Etiology:
Inability to completely empty bladder
Causes:
- Urethral strictures
- Enlarged prostate
- Blood clots, renal calculi, bladder calculi
- Neurogenic bladder
- Pelvic organ prolapse
- Multiple sclerosis
- Side effect of parasympathetic agents and over-the-counter (OTC) cold medications
Clinical Presentation:
- Lower abdominal discomfort
- Bladder distention
- Frequent Urination
- Small amounts
- Urge, but can’t go
- Hesitancy
Collaborative Management:
Assessment-
- Ultrasonic bladder scan
Interventions-
- Insert indwelling catheter
- Consider a Coudé catheter for patients with a history of benign prostatic hyperplasia (BPH)
- Determine cause, treat as appropriate
- May need Urologist to assist
Linchpins: (Key Points)
- Exit is blocked
- Unblock the exit
Transcript
For more great CEN prep, got to the link below to purchase the “Emergency Nursing Examination Review” book by Dr. Laura Gasparis Vonfrolio RN, PHD
https://greatnurses.com/
References:
- Emergency Nurses Association. (2017) Emergency Nursing Core Curriculum, 7th Edition. PA: Saunders
- Savone, D. (2017). Genitourinary, Gynecology, and Obstetrical Emergencies. In CEN Online Review. Emergency Nurses Association.
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