Which action should be included in the care plan for a client with urinary retention?

• A. Request an order for a bladder scan
• B. Limit fluid intake
• C. Encourage bed rest
• D. Administer diuretics immediately

Answer: (A)

Including a request for a bladder scan in the care plan for a client with urinary retention is crucial because it helps assess the volume of urine in the bladder. This non-invasive procedure assists healthcare providers in determining the severity of the retention and deciding on the appropriate course of action. Understanding the urinary volume can guide interventions, whether they involve catheterization, medication, or other management strategies.

This approach is oriented towards accurate diagnosis and ensuring the patient's comfort and health. Monitoring the bladder's status is especially important, as urinary retention can lead to complications such as bladder damage or infections if not addressed properly. The scan provides vital information that informs subsequent medical decisions and interventions tailored to the individual patient’s needs.