A 25-year-old male client who has acute diarrhea is feeling weak and requires assistance in going to the bathroom. The client has bathroom privileges. What role should the nurse play in such a situation?
A) Insist by providing a bedpan to the client instead.
B) Assist the client to the bathroom only at regular hours.
C) Hold the client when he is sitting on the toilet seat.
D) Assist to the bathroom and keep the cord for the call signal within the client's reach.
D
Feedback:
The nurse should assist the client to the bathroom and keep the cord of the call signal within the client's reach so that assistance can be provided whenever he asks for it. The nurse should not insist by providing a bedpan instead. If the client has bathroom privileges and wants to go to the bathroom, he should be assisted to do so. The nurse should not assist the client to the bathroom only at regular hours, but should assist whenever the client has a desire to eliminate and seeks assistance to the bathroom. The nurse does not need to continue holding the client when he is sitting on the toilet seat. The client should be provided privacy.
You might also like to view...
A 7-year-old child is being seen in the clinic for a well child visit. The parent of the child reports the child is timid, seems anxious, and actually fears going to school. The nurse should counsel the parent that the child might be:
1. A victim of a bully. 2. Bullying other children at school. 3. Doing poorly in math class. 4. Doing poorly in physical education class.
A 42-year-old patient admitted with acute kidney injury due to dehydration has oliguria, anemia, and hyperkalemia. Which prescribed actions should the nurse take first?
a. Insert a urinary retention catheter. b. Place the patient on a cardiac monitor. c. Administer epoetin alfa (Epogen, Procrit). d. Give sodium polystyrene sulfonate (Kayexalate).
The National Institute of Nursing Research (NINR) was established following a study in 1983. The center's purpose is to:
A) advance the level of nursing research funding. B) investigate and expand nursing theory. C) promote research for health promotion. D) evaluate the effect of current research.
What type of problem is occurring when identification of issues surrounding the problem and solutions to the problem both are unclear?
a. An adaptive challenge b. A technical challenge c. A technical and adaptive challenge d. A non-challenge