The nurse should identify that Client 1 requires priority care due to which of the following reasons?

Choice A rationale

Encouraging the client to share their thoughts fosters therapeutic communication. This approach builds trust, explores underlying concerns, and allows the nurse to provide education and address misconceptions effectively.

Choice B rationale

Suggesting regret minimizes the client’s autonomy and could create feelings of guilt. This response is not client-centered and does not support an open, respectful discussion about their decision-making process.

Choice C rationale

Stating it is too late dismisses the client’s right to autonomy. This response is not accurate as procedures can typically be postponed, and it discourages open communication about the client’s concerns.

Choice D rationale

Reassuring about the painlessness of surgery dismisses the client’s feelings and does not address their specific concerns. This response may oversimplify the situation, leading to reduced trust and rapport.

Choice A rationale

The presence of white blood cells in urine (pyuria) suggests infection rather than occlusion. White blood cells are part of the immune response and indicate inflammation or urinary tract infection.

Choice B rationale

Cloudy urine results from debris, bacteria, or excess proteins, often associated with infection rather than occlusion. While significant, cloudy urine does not directly signify mechanical blockage of the catheter.

Choice C rationale

Urinary urgency is more commonly a symptom of bladder irritation or infection and not catheter occlusion. Catheterization bypasses the bladder, reducing the likelihood of perceived urgency.

Choice D rationale

Bladder distention occurs when urine accumulates due to impaired drainage, a classic sign of catheter occlusion. It indicates a mechanical blockage, preventing normal urinary flow through the catheter.