Health assessment · practice question

A 66-year-old client in an outpatient clinic is being evaluated for skin and wound assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which finding requires the nurse to intervene immediately?

Multiple choiceMediumnclex-rn-bsnnclex-validatednclex-2026health-assessment

A comfort request with unchanged vital signs and no new symptoms.The new finding that has not voided in 8 hours and lower abdomen is firm and tender.Routine data unchanged from the prior assessment.A stable, long-standing finding that matches the expected care plan.

Answer and explanation

Correct answer

B. The new finding that has not voided in 8 hours and lower abdomen is firm and tender.

Why

Follow-up items test whether the nurse recognizes cues that are new, acute, or inconsistent with stability and need prompt nursing action.

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A 66-year-old client in an outpatient clinic is being evaluated for skin and wound assessment during hospitalization. Assessment data include the client has not voided in 8 hours and lower abdomen is firm and tender. Which finding requires the nurse to intervene immediately?

Correct answer

Why

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