For which client who has urine incontinence problems should the nurse plan an alternative to the use of intermittent self-catheterization for urine elimination?

A. 85-year-old female client
B. 60-year-old female client who is blind
C. 62-year-old male client with dementia
D. 48-year-old male client who has paraplegia


C
Clients of any age with a variety of impairments and disabilities can participate in intermittent self-catheterization. The two main requirements are that the client is cognitively intact and can reach the area.

Nursing

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An older resident is complaining of being constipated. Which action should the nurse take first when caring for this patient?

1. Assess the diet for adequacy of fiber and fluids. 2. Determine what the patient means by constipation. 3. Obtain an order for a laxative and an enema if needed. 4. Encourage the patient to increase fluid intake and activity.

Nursing

The client is at 36 weeks gestation. The nurse understands that the pregnancy is progressing normally when she sees which of the following physiologic changes documented on the client's prenatal record? (Select all that apply.)

A. The joints of the pelvis have relaxed, causing hip pain. B. The cervix is firm and purplish-blue in color. C. The uterine fundus is at a height of 35 cm above the pubic symphysis. D. Gastric emptying time is prolonged, and the client complains of gas and bloating. E. Hair loss is increased, with thinning of the hair.

Nursing

Which of the following causes primary nephrotic syndrome?

a. glomerular disease of the kidney c. lead poisoning b. hepatitis d. childhood cancer or its therapies

Nursing

Parents of a child with sickle cell anemia ask the nurse, "What happens to the hemoglobin in sickle cell anemia?" Which statement by the nurse explains the disease process?"

a. Normal adult hemoglobin is replaced by abnormal hemoglobin. b. There is a lack of cellular hemoglobin being produced. c. There is a deficiency in the production of globulin chains. d. The size and depth of the hemoglobin are affected.

Nursing