When entering the room of an older adult to insert a catheter, what would be the most effective approach by the nurse?
a. Touch the patient and say, "I need to insert this catheter."
b. Approach the bed, turn back the cover, and announce, "The doctor wants a urine specimen."
c. Open catheter tray at bedside, turn back the cover, and say, "Is it okay to put a tube in your bladder?"
d. Introduce yourself at the door and ask, "May I insert this catheter for a urine specimen?"
ANS: D
Speaking to the patient from a public space and requesting permission to do a procedure is the best approach. All other options indicate, by the nurse's nonverbal communication, that permission is not really required before insertion.
You might also like to view...
The health care provider feels an older female adult has about 6 weeks to live. After 2 months, the family remains at the bedside but, in the last few days, are becoming increa-singly impatient and irritable
This pattern is least indicative of which statement? a. The family is experiencing anticipatory grief for the older adult. b. The family desires that the patient be relieved of her misery. c. Anticipatory grieving can fail to attenuate acute grief upon death. d. Grievers deal more easily with known losses at known times.
Your patient is receiving postoperative analgesic through a patient-controlled analgesia (PCA) pump. You have given the patient a bolus of an opioid medication. You should prioritize the assessment of what potential problem?
A) Sedation B) Respiratory depression C) Fluid overload D) Changes in their skin integrity
A nurse is caring for a 70-year-old client who is receiving anticholinergic drug therapy for Parkinson's disease. The nurse would be alert for the development of which of the following in this client?
A) Confusion and disorientation B) Choreiform movements C) Suicidal tendencies D) Psychotic episodes
Which comment by a woman in her first trimester indicates ambivalent feelings?
a. "I wanted to become pregnant, but I'm scared about being a mother." b. "I haven't felt well since this pregnancy began." c. "I'm concerned about the amount of weight I've gained." d. "My body is changing so quickly."