A nurse is preparing a client for discharge home who will be in the care of family members. The client is now incontinent because of a stroke
What instructions regarding bladder train-ing should be included in the teaching plan for this client's family? A. "Decrease the client's oral fluid intake to 1 L per day."
B. "Use a Foley catheter at night to prevent accidents."
C. "Offer the client the commode or urinal every 2 hours."
D. "Instruct the client to hold the urine as long as possible to restore bladder tone."
C
To begin a bladder training program, teach the family to offer the client the commode, bedpan, or urinal every 2 hours; offered frequently enough, this will prevent accidents. This establishes a routine.
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A nurse in the oncology clinic is providing preoperative education to a client just diagnosed with cancer. The client has been scheduled for surgery in 3 days. What action by the nurse is best?
a. Call the client at home the next day to review teaching. b. Give the client information about a cancer support group. c. Provide all the preoperative instructions in writing. d. Reassure the client that surgery will be over soon.
The gynecoid, or female-type, pelvis is best suited to childbirth because it has a:
a. Long anteroposterior outlet b. Round outlet and a fixed coccyx c. Heart-shaped outlet that readily expands d. Wide pubic arch and more movable coccyx
The nurse is concerned that a client is experiencing complicated grieving after the unexpected death of a son. The nurse most likely assessed
1. the client's denying the son's death. 2. depression. 3. sudden weight loss because of not eating. 4. crying. 5. verbalizing the desire to not live anymore.
When taking postoperative vital signs, you should
A. monitor the temperature every 15 minutes. B. count the pulse and respiration for one full minute. C. discontinue monitoring one hour after the patient returns. D. discontinue monitoring when you think the patient is stable.