The nurse is completing an admission assessment. The client reports a 2-day history of hematuria. Which term describes this assessment finding?

A. Asking the client to bear down as if urinating: This action is not appropriate in this situation because the lack of urine output may not necessarily be due to the client's inability to void. Checking for other potential issues, such as kinks in the tubing, is more appropriate as a first step.

B. Check for kinks in the tubing: This is the most appropriate first action. Kinks in the tubing can obstruct urine flow from the bladder to the drainage bag, leading to decreased or no urine output. By checking for kinks, the nurse can quickly identify and correct any obstructions, potentially resolving the issue without further intervention.

C. Increasing fluid intake: While maintaining adequate hydration is important for overall urinary function, it is not the most immediate action needed when there is no urine output in the catheter bag. Addressing potential mechanical issues, such as kinks in the tubing, takes precedence.

D. Inserting a new indwelling urinary catheter: Inserting a new catheter should not be the first action taken without investigating other potential causes for the lack of urine output. It is important to troubleshoot and address possible issues with the current catheter and drainage system before considering catheter replacement.

A. frequent enuresis: Frequent enuresis refers to the involuntary loss of urine during the day or night, often associated with bedwetting. It does not specifically describe the sudden, compelling need to urinate described by the client.

B. urinary frequency: Urinary frequency is the need to urinate more often than usual, which may or may not be associated with urgency. It does not fully capture the sudden, urgent need to urinate described by the client.

C. urinary urgency: Urinary urgency is the sudden, compelling need to urinate that cannot be delayed. This aligns with the client's description of feeling like they have to go immediately and cannot wait. Therefore, this is the most appropriate choice.

D. urge incontinence: Urge incontinence involves the involuntary loss of urine associated with a sudden, strong desire to urinate. While similar to urinary urgency, it specifically refers to the leakage of urine that can occur due to the inability to reach the toilet in time after feeling the urge to urinate. However, the client's statement does not indicate actual urine leakage, making this option less appropriate than urinary urgency.