ATI Basic Care and Comfort Practice Test

After the removal of an indwelling urinary catheter, it is important for the nurse to assess for temporary urinary retention, especially in older adult clients. The presence of a catheter can lead to changes in the normal mechanics of bladder function, and once the catheter is removed, the bladder may not automatically resume its normal function immediately. This could result in the inability to void despite having the urge to do so.

Older adults are particularly at risk for retention due to factors like reduced bladder elasticity, decreased bladder muscle tone, and a higher likelihood of comorbidities that can affect bladder function. Monitoring for urinary retention ensures that any potential complications can be identified and managed promptly, thus reducing the risk of discomfort, potential bladder distension, or further complications.

While increased urinary output, signs of infection, and an immediate urge to void may also be monitored, the primary concern right after catheter removal is assessing for the presence of retention, as this can indicate how well the bladder is functioning post-catheterization.