A nurse is caring for a client with urinary retention. The client asks what causes them to have urinary retention. Which of the following statements should the nurse make regarding possible causes of urinary retention? (Select all that apply.)
A.
“It may be caused by a stone lodged in your urethra.”
B.
“It may be caused by an underactive bladder from a neurological condition.”
C.
“It may be caused by a defective gene from one of your parents.”
D.
“It may be caused by a narrowing of the urethra.”
The Correct answer and Explanation is:
The correct answers for possible causes of urinary retention are:
A. “It may be caused by a stone lodged in your urethra.”
B. “It may be caused by an underactive bladder from a neurological condition.”
D. “It may be caused by a narrowing of the urethra.”
Explanation:
Urinary retention is a condition characterized by the inability to completely empty the bladder, which can lead to discomfort, urinary tract infections, and potential damage to the bladder and kidneys. Understanding its causes is crucial for effective nursing care and patient education.
- Stone Lodged in the Urethra (Option A):
Urinary stones can form in the kidneys and may travel to the urethra, where they can cause obstruction. When a stone is lodged in the urethra, it blocks the flow of urine, leading to retention. This acute situation requires prompt assessment and intervention, as it can result in severe pain and complications if not addressed. - Underactive Bladder from a Neurological Condition (Option B):
Neurological disorders, such as multiple sclerosis, spinal cord injuries, or diabetic neuropathy, can affect the nerves that control bladder function. An underactive bladder may not contract adequately to expel urine, resulting in retention. The nurse should assess for any neurological signs that may contribute to this condition, providing a holistic approach to care. - Narrowing of the Urethra (Option D):
Conditions such as urethral strictures can narrow the urethra, making it difficult for urine to flow freely. This narrowing can be caused by trauma, infections, or chronic inflammation. In such cases, urinary retention can develop gradually or suddenly, depending on the severity of the narrowing.
Incorrect Option C:
“It’s unlikely that urinary retention is caused by a defective gene from one of your parents.” Genetic factors may contribute to certain health conditions, but urinary retention is primarily influenced by mechanical or neurological factors rather than hereditary genetic defects.
Overall, recognizing the causes of urinary retention is essential for effective management and patient education.