During the implementation of a bladder training program, the nurse informs a client to bend at the waist or press inward and downward over the bladder. Which of the following statements justifies this action?
A) It stimulates the relaxation of the urinary sphincter.
B) It increases abdominal pressure.
C) It helps the client to identify voiding.
D) It reduces the calculus formation in the urinary tract
B
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An older woman tells the nurse that she has experienced increasing fatigue and shortness of breath over the last 2 days. Which goal is the nurse's priority?
a. Promote safety to prevent injury. b. Complete nutritional assessment. c. Balance exercise and rest periods. d. Explore the woman's complaints.
While a patent is being interviewed by the nurse, a family member states, "What my father really means is that he doesn't know for sure what the physician meant about the medical diagnosis."
Which communication technique did the family member use? a. Focusing b. Clarifying c. Summarizing d. Sharing observations
When a client with paranoid schizophrenia has a recurrence of positive symptoms after stopping his
antipsychotic medication to be free of its orthostatic side effect, he is readmitted to the mental health unit. The physician orders the resumption of medication. The nurse adds the nursing diagnosis of "noncompliance with antipsychotic medication regimen related to side effects" to the client's care plan. What measure should the nurse suggest to the client? a. Ask the physician about prescribing an anticholinergic drug such as trihexyphenidyl (Artane). b. Chew sugarless gum or use sugarless hard candy to moisten oral mucous membranes. c. Reduce dosage by 5 mg daily if side effects recur. d. Wear elastic support hose, stay hydrated, and rise slowly from the lying or sitting position.
A client with diabetes asks the nurse why it is necessary to maintain blood glucose levels no lower than about 60 mg/dL. Which is the nurse's best response?
a. "Glucose is the only fuel used by the body to produce the energy that it needs." b. "Your brain needs a constant supply of glucose because it cannot store it." c. "Without a minimum level of glucose, your body does not make red blood cells." d. "Glucose in the blood prevents the forma-tion of lactic acid and prevents acidosis."