Ace the ANCC Exam 2025 – Ignite Your Nursing Superpowers!

In this scenario, the first action that the nurse practitioner should take is to refer the patient to a urologist for further treatment. This decision is grounded in the need to address the underlying causes of urinary retention, particularly in an elderly male patient where prostate issues like benign prostatic hyperplasia (BPH) or prostate cancer may be contributing factors. A urologist specializes in male reproductive health and urinary tract disorders, and they are best equipped to perform necessary diagnostic tests, such as digital rectal examinations or imaging studies, to determine the cause of the patient's inability to void.

Taking immediate steps to ensure that the patient receives specialized care is essential, particularly given that the inability to void can lead to further complications, such as bladder distention, urinary tract infections, or kidney damage. In this context, referring to a specialist ensures that the patient is promptly assessed and treated appropriately based on the specific diagnosis.

While options such as prostatic massage or suprapubic aspiration may be used as interventions in certain scenarios of urinary retention, they are not first-line or definitive actions without a thorough assessment by a urologist who can evaluate the specific circumstances of the case. Prescribing a diuretic without understanding the underlying issue could lead to more complications and is