NextGen SKINNY Reasoning Urinary Retention Latest Updated 2025, Exams of Nursing

NextGen SKINNY Reasoning Urinary Retention Latest Updated 2025

Typology: Exams

2024/2025

Available from 05/15/2025

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NextGen SKINNY Reasoning Urinary
Retention Latest Updated 2025
Frank Thomas, 62 years old
Primary Concept
Elimination
Interrelated Concepts (In order of emphasis)
Clinical judgment
NCLEX Client Need Categories
Covered in
Case Study
NCSBN Clinical
Judgment Model
Covered in
Case Study
Safe and Effective Care Environment
Step 1: Recognize Cues
Management of Care
Step 2: Analyze Cues
Safety and Infection Control
Step 3: Prioritize Hypotheses
Health Promotion and Maintenance
Step 4: Generate Solutions
Psychosocial Integrity
Step 5: Take Action
Physiological Integrity
Step 6: Evaluate Outcomes
Basic Care and Comfort
Pharmacological and Parenteral
Therapies
Reduction of Risk Potential
Physiological Adaptation
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NextGen SKINNY Reasoning Urinary

Retention Latest Updated 2025

Frank Thomas, 62 years old

Primary Concept

Elimination

Interrelated Concepts (In order of emphasis)

  • Clinical judgment

NCLEX Client Need Categories Covered in

Case Study

NCSBN Clinical

Judgment Model

Covered in

Case Study

Safe and Effective Care Environment Step 1: Recognize Cues ✓

  • Management of Care ✓^ Step 2:^ Analyze^ Cues^ ✓
  • Safety and Infection Control Step 3: Prioritize Hypotheses ✓ Health Promotion and Maintenance Step 4: Generate Solutions (^) ✓ Psychosocial Integrity Step 5: Take Action ✓ Physiological Integrity Step 6: Evaluate Outcomes ✓
  • Basic Care and Comfort ✓
  • Pharmacological and Parenteral Therapies
  • Reduction of Risk Potential ✓
  • Physiological Adaptation

Present Problem:

You are the nurse responsible for the care of Frank Thomas, a 62-year-old male patient who had a knee

replacement yesterday and still has a femoral nerve block in place. He remains on bedrest until later this

afternoon. During your 1200 assessment, you notice that the urinary catheter bag has a small amount of urine in

the tubing and no urine in the collection bag. His urine output for the eight-hour overnight shift was 700 mL.

When you ask Frank how he is feeling, he replies, “I feel a lot of pressure, almost like I need to urinate” as he

points to his lower abdomen.

1. What data from the present problem is RELEVANT and must be NOTICED as clinically significant by the nurse? (NCSBN: Step 1 Recognize cues/NCLEX: Reduction of Risk Potential)

RELEVANT Data from Present Problem: Clinical Significance:

Additional Information:

Frank has a past medical history of arthritis and degenerative joint disease and takes aspirin daily. He did not

receive contrast media during this hospitalization. You perform a focused assessment and note that there is

increased pain and tenderness with gentle palpation over the symphasis pubis (low/mid abd) and the abdomen is

firm to touch.

Current VS: P-Q-R-S-T Pain Assessment:

T: 98.5 F/36.9 C (oral) P rovoking/Palliative:

P: 80 ( regular) Q uality: Denies

R: 16 (regular) R egion/Radiation:

BP: 118/74 S everity:

O2 sat: 95% room air (RA) T iming:

Lab Results: Complete Blood Count (CBC) WBC HGB PLTs % Neuts Bands Today: 9.8 13.5 185 75 0 Yesterday: 8.5 12.9 175 68 0 Basic Metabolic Panel (BMP) Na K Gluc. BUN Creat. Today: 142 3.9 115 10 0. Yesterday: 144 3.8 108 9 0.