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The Nurse Is Caring for a Patient with Benign Prostatic

Question 24

Multiple Choice

The nurse is caring for a patient with benign prostatic hypertrophy who states that he feels a constant urge to urinate but cannot pass more than 30 to 60 mL of urine into the toilet at a time. The nurse performs a bladder scan and finds that there are 1100 mL of urine in the patient's bladder. What is the priority nursing diagnosis for this patient?


A) Alteration in comfort r/t continual urge to urinate
B) Overflow urinary incontinence r/t over-distention of the bladder
C) Urinary retention r/t obstruction of urinary bladder outlet
D) Toileting self-care deficit r/t inability to pass urine into the toilet

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