A nurse working on a rehabilitation unit is caring for several clients with neurogenic bladder. The client who probably should not be a candidate for intermittent catheterization teaching is the
a. 15-year-old client who cannot understand sterile technique.
b. 26-year-old paraplegic client.
c. 26-year-old woman with an active sex life.
d. 35-year-old man with an erratic work schedule.
D
Catheterization must be carried out at specified intervals throughout the day until bedtime. A client who is incapable of adhering to this schedule is not an appropriate candidate for the pro-gram. Intermittent self-catheterization is done with clean, not sterile, technique. Having paraple-gia or an active sex life would not interfere with the program.
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A client is hearing voices telling him to kill himself. The nurse would document this type of perceptual disturbance as which of the following?
A) Illusion B) Delusion C) Thought insertion D) Hallucination
After being told that surgery would probably benefit the client, the client refuses to have the surgery. In accepting the client's choice of action, the nurse is acting on which ethical principle?
a. Nonmaleficence b. Justice c. Veracity d. Autonomy
A patient who is receiving a narcotic analgesic for pain sees shadows from the Venetian blinds and tells the nurse there are snakes on the wall. The nurse knows this patient is experiencing
a. a hallucination c. a disturbance in af-fect b. an illusion d. a disturbance in judgment
The parents of a toddler client who has cerebral palsy are only now beginning to accept that their child will have permanent disability. The nurse has been instructing the parents about the treatment for the spasticity their child is experiencing
Which statements by the parents indicate that the nurse should plan additional teaching sessions? Standard Text: Select all that apply. 1. "At some point, our child may require surgery to correct this spasticity." 2. "As long as we continue our child's medications, the spasticity can be controlled." 3. "Our physical therapy sessions should focus on flexing our child's muscles." 4. "We should repeat the exercises several times with each muscle group." 5. "It is best to give our child a rest from physical therapy by skipping 1 week a month."