A nurse is caring for a client who has a spinal cord injury at level T3. Which intervention should the nurse implement to assist with bladder dysfunction?
a. Insert an indwelling urinary catheter.
b. Stroke the medial aspect of the thigh.
c. Use the Credé maneuver every 3 hours.
d. Apply a Texas catheter with a leg bag.
ANS: C
Two techniques are used to facilitate voiding in a client with a flaccid bladder: the Valsalva maneuver and the Credé maneuver. Indwelling urinary catheters generally are not used because of the increased incidence of urinary tract infection. Stroking the medial aspect of the thigh facilitates voiding in clients with upper motor neuron problems. If the spinal cord injury is above T12, the client is unaware of a full bladder and does not void or is incontinent. Therefore, the client would not benefit from a Texas catheter with a leg bag.
You might also like to view...
A nurse is caring for a patient with a skin tear. Which of the following is included in this care? Select all that apply
A) Clean the wound with normal saline. B) Clean the wound with hydrogel. C) Cover the wound with a self-adherent dressing. D) Tape the dressing in place to avoid displacement. E) Apply hydrogel before cleansing the wound. F) Wrap the wound with a nonadherent dressing.
A nurse is counseling a woman who wishes to undergo an elective medication abortion. The nurse should assess the woman for what psychosocial considerations? (Select all that apply.)
A. Availability of a close friend who can stay with the woman B. Feeling that medication pregnancy termination is a natural, less stressful process C. Potential for trauma at seeing or handling the products of conception D. Previous use of alcohol or other substances for coping E. Type of birth control the woman plans to use after the abortion
0.5 liter = ____ mL
a. 0.0005 b. 0.05 c. 50 d. 500
You are caring for a 35-year-old male who has just been diagnosed with paralysis due to a sky diving accident that injured the spinal cord. How can you anticipate that the patient will react emotionally?
A) Go through all stages of grief in a week so he can adapt B) Progress sequentially through five stages of the grief process C) Need humor therapy D) Respond to grief in an individualistic manner