Urinary Retention for Certified Emergency Nursing (CEN)

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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)
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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

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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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