When a client has not urinated for an extended period, what is an important diagnostic step for the nurse to take?

Performing a bladder scan is an important diagnostic step when a client has not urinated for an extended period. This non-invasive procedure allows the nurse to assess the amount of urine in the bladder. By using ultrasound technology, it helps determine whether the bladder is distended, indicating urinary retention, or if there is simply an absence of urine production, which could signal other underlying issues such as dehydration or kidney problems.

The bladder scan provides quick and relevant information, enabling the nurse to gather data that can guide further decision-making and interventions. It helps in assessing the client’s condition accurately before taking further action, which is crucial for patient safety and care. This information can also assist the healthcare team in determining the next steps in management, including if catheterization is necessary or if further evaluation is needed for kidney function.

While involving the healthcare provider may be necessary later based on the findings, the bladder scan serves as an immediate and actionable step that directly relates to the client's current urinary status. Encouraging physical activity or assuming the situation is normal without assessment would not be appropriate responses, as they could overlook a potentially serious medical condition.