A nurse is assessing a client who has urinary retention. Which of the following findings should the nurse expect?

Choice A reason: Urinary retention causes urine to remain in the bladder, increasing concentration as water is reabsorbed, resulting in dark-colored urine. Elevated levels of waste products like urea darken the urine’s appearance, reflecting reduced bladder emptying. This is a common finding in retention due to the prolonged stasis of urine in the bladder. Choice B reason: Leakage of urine, or overflow incontinence, may occur in chronic urinary retention but is not the primary finding. Retention is characterized by the inability to fully empty the bladder, leading to concentrated urine, not leakage. Leakage is more associated with stress or urge incontinence, making this incorrect. Choice C reason: Blood in urine (hematuria) is not a typical finding in urinary retention unless complicated by infection or trauma. Retention primarily causes urine concentration, not bleeding. Hematuria is more associated with infections, stones, or malignancy, making it an incorrect expected finding for uncomplicated urinary retention. Choice D reason: Cloudy urine suggests infection, such as a urinary tract infection, rather than urinary retention alone. Retention may predispose to infections, but cloudiness is not a direct result of retention itself. The primary finding is concentrated, dark urine due to stasis, making this an incorrect expected finding.