Which of the following nursing interventions is most specific for a cl

Which of the following nursing interventions is most specific for a client being monitored for possible urinary retention?

1. Measuring urine output with each urination
2. Monitoring the color and clarity of urine with each voiding
3. Collecting a urine sample for a culture and sensitivity test
4. Asking the cognizant client to report each time he or she urinates

ANSWER

ANS: 4
With retention the client may void small amounts of urine 2 or 3 times an hour with no real relief of discomfort or may continually dribble urine. Be aware of the volume and frequency of voiding to assess this condition in the client. The alert, oriented client can be asked to notify the nurse each time micturition occurs. The remaining options are more generalized or specific for a urinary tract infection.