Free BCEN Certified Emergency Nurse (CEN) Practice Question

A 72-year-old male patient presents to the emergency department with severe lower abdominal pain and an inability to void for the past 12 hours. On physical examination, the patient's bladder is palpable and distended. Which of the following is the most appropriate initial intervention for this patient?

  • Immediate bladder catheterization

  • Administration of analgesics

  • Perform an ultrasound to confirm bladder distention

  • Begin intravenous fluids to encourage diuresis

This question's topic:
BCEN Certified Emergency Nurse (CEN) / 
Gastrointestinal, Genitourinary, Gynecology, and Obstetrical
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