Free BCEN Certified Emergency Nurse (CEN) Practice Question

The correct answer involves conducting a retrograde cystogram. This diagnostic procedure is vital for confirming the diagnosis of bladder injury, which is indicated by his pelvic pain, difficulty voiding, and visible signs of pelvic trauma. A fast and accurate diagnosis is crucial to manage potential complications such as hematuria and urinary retention. Administering pain relief, while important for patient comfort, does not facilitate in diagnosing an internal injury. Arranging immediate surgery is not indicated without a proper diagnostic confirmation of bladder integrity and the extent of injury. Monitoring vital signs, although necessary in trauma care, is not directly related to the specific intervention required for suspected bladder injury.