Reduction of Risk PotentialQuestion 412 of 2368

A client complains of bladder fullness 5 hours after an indwelling catheter was removed. The nurse prompts the client to urinate, and the client voids 120 mL. What should the nurse do next?

  1. Document the void as normal and recheck in 8 hours
  2. Tell the client to restrict fluids for the rest of the day
  3. Insert a new indwelling catheter right away
  4. Perform a bladder scan to find the post-void residual
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Correct answer: Perform a bladder scan to find the post-void residual

A void under 180 mL calls for a bladder scan to check for incomplete emptying. A straight catheter is used only if no scanner is available.

Source: Nursing Skills, 2nd edition (Open RN, Chippewa Valley Technical College, 2023), Facilitation of Elimination: REMOVING AN INDWELLING URINARY CATHETER. Licensed under CC BY 4.0.

Practice the topic "Reduction of Risk Potential"

Questions last reviewed: 18 October 2026