A nurse utilizes the SPICES tool (Sleep disorders, Problems with eating, Incontinence, Confu-sion, Evidence of falls, and Skin breakdown) to assess an older female patient in the hospital
The nurse notes that the patient has new onset urinary incontinence. The first action by the nurse is to:
a. conduct a more in-depth focused assess-ment of the urinary incontinence.
b. call the provider and obtain an order for an antibiotic for a suspected urinary tract infection.
c. send a urine specimen for culture and sen-sitivity.
d. develop a plan of care with the patient to control episodes of incontinence.
ANS: A
SPICES is an assessment tool. Anything that indicates a problem in any of the categories warns the nurse that a more in-depth assessment is needed. The nurse needs to further assess the urinary incontinence prior to implementing any interventions.
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