Following delivery, a client feels the urge to void, but is unable to do so after an extended period of time. What immediate action should the nurse take?
A) Report it to the practitioner.
B) Catheterize the bladder.
C) Apply suprapubic pressure.
D) Reassure the client.
A
Feedback:
The nurse should report to the practitioner if the client feels the urge to void but is unable to do so. Other measures, such as catheterization or suprapubic pressure, should not be performed unless advised by the practitioner. Failure to void may indicate swelling or injury to the urinary system; therefore, reassurance is not sufficient.
You might also like to view...
A new nurse manager questions another manager as to the method of performance evaluation that focuses on personal traits and characteristics. The other manager explains it:
1. Is job related. 2. Can be used for a variety of job descriptions. 3. Can be useful in staff development. 4. Can help prevent legal accusation of discrimination.
An older patient has been diagnosed with hyperthyroidism. Which treatment will the nurse anticipate?
1. Partial thyroidectomy 2. Ingestion of radioactive sodium iodine 3. Combination treatment with Synthroid and amiodarone 4. Large doses of propylthiouracil (PTU) and intravenous propranolol
Dietary fiber is fermented by
a. salivary amylase. b. pancreatic amylase. c. bacteria in the colon. d. bacteria in the rectum.
A client had surgery to remove a lump in the upper region of the arm. The physician informed the client that the tumor was benign. The client asks the nurse about the chances of a favorable response to the therapy
What should the nurse's reply include? A) "A benign tumor is the result of growth of cells; if removed, it usually does not recur." B) "A benign tumor is the result of infection and requires regular medication." C) "A benign tumor is the result of imbalanced metabolism and recurs gradually." D) "A benign tumor is the result of occupational factors and may undergo metastasis."