After examining M.B., the ED physician asks you to insert an indwelling urethral Foley
catheter. What will you include in M.B.'s teaching before placing the Foley?
What will be an ideal response?
Instruct M.B. that placement of the catheter will allow his urine to flow through the catheter into
a collection bag. This procedure will require you to cleanse the head of his penis to decrease the
risk for infection; you will lubricate the catheter with water-soluble lubricant (e.g., K-Y Jelly) before
inserting it into his penis. Insertion of the catheter can be uncomfortable. He will feel pressure while
the catheter is advanced through the urethra and past the prostate. Once the catheter is in place and
the urine is drained, his symptoms should be relieved.
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The home health care nurse educates patients on which goals of hospice care? (Select all that apply.)
a. Relieve suffering b. Support the patient and family c. Provide grief support d. Keep patients out of the hospital e. Lower medical expenses
During the initial interview at the crisis center, a patient reveals that his wife asked him for a divorce. He is so anxious that he "cannot think straight.". Which response would best assess the patient's coping skills?
a. "I can see you are upset. You can rely on us to help you feel better.". b. "What would you like us to do to help you feel more relaxed?" c. "In the past, how did you handle difficult or stressful situations?" d. "Do you think you deserve to have things like this happen to you?"
Which modality would be least helpful to include in the plan of care for a client who is being treated
for severe chronic low back pain? a. Biofeedback, to promote relaxation of muscle groups and relief of tension that aggravates pain b. Guided imagery, as a way of deepening relaxation and desensitizing the client to pain c. Hypnosis, to achieve a state of resting alertness and the ability to block out painful sensations d. Psychoanalytic psychotherapy, to develop insight about the underlying psychological reasons for the symptom
What right does the Omnibus Reconciliation Act of 1990 require institutions to provide written information to patients concerning?
a. Donation of organs b. Accepting or refusing treatment c. Autopsy d. Physician-assisted suicide