A nurse is caring for a client who has phantom limb pain. The nurse should identify the client is experiencing which type of pain?

A. Urinary retention can lead to an increased risk of urinary tract infections. When urine remains in the bladder for prolonged periods, it can become a breeding ground for bacteria, increasing the likelihood of infection.
B. While bladder outlet obstruction can lead to urinary retention, this is more of a potential cause rather than a complication to monitor. In an immobile client, it may not be the primary concern unless there are specific signs or known conditions that suggest obstruction.
C. Proteinuria (presence of protein in the urine) is typically associated with kidney damage or disease, rather than urinary retention itself. While kidney function should always be monitored in any patient, protein in the urine is not a direct consequence of urinary retention or immobility.
D. Neurogenic bladder refers to bladder dysfunction due to nerve problems, affecting the ability to sense fullness or control urination. While this can be a concern for clients with certain neurological conditions, it is not an immediate monitoring concern for a client experiencing urinary retention solely due to immobility.

A. While EBP may involve following standardized protocols that are based on research, its primary purpose is broader. It aims to guide practice based on the best available evidence rather than just following protocols without questioning their efficacy.
B. Although established practices can be efficient, EBP is not primarily about saving time; it’s about ensuring that practices are scientifically validated. Relying solely on established practices without evidence can lead to outdated or ineffective care.
C. While traditions and personal beliefs can inform a nurse’s approach, EBP emphasizes using research and evidence rather than subjective beliefs. This ensures that care is based on what has been shown to be effective.
D. The ultimate goal of evidence-based practice is to enhance patient outcomes, safety, and the overall quality of care. By integrating the best research evidence, clinical expertise, and patient preferences, nurses can provide the most effective and appropriate care.