A nurse is caring for a female patient whose urinary retention has not responded to conservative treatment. When educating this patient about self-catheterization, the nurse should encourage what practice?
A) Assuming a supine position for self-catheterization
B) Using clean technique at home to catheterize
C) Inserting the catheter 1 to 2 inches into the urethra
D) Self-catheterizing every 2 hours at home
Ans: B
Feedback:
The patient may use a "clean" (nonsterile) technique at home, where the risk of cross-contamination is reduced. The average daytime clean intermittent catheterization schedule is every 4 to 6 hours and just before bedtime. The female patient assumes a Fowler's position and uses a mirror to help locate the urinary meatus. The nurse teaches her to catheterize herself by inserting a catheter 7.5 cm (3 inches) into the urethra, in a downward and backward direction.
You might also like to view...
The nurse is providing care for a 10-year-old girl who has required multiple venipunctures and a CT scan in a single day. The girl has expressed no fear or need for comfort. How should the nurse respond?
A) "Tell me about your day today." B) "Are you doing okay?" C) "Are you feeling okay?" D) "You have done really well today."
A client with bipolar disorder is monitored by the community mental health nurse. The client's
mood disorder is under good control when the client takes the prescribed doses of lithium. The client tells the nurse she is pregnant as the result of her boyfriend committing date rape. The nurse makes the following assessments: lithium taken throughout pregnancy may result in a baby born with birth defects; the client is likely to have a relapse of her illness if she stops taking lithium; and the client is a devout Catholic who believes her boyfriend will marry her "even if he did get carried away" and care for their child. Which option would be congruent with the client's values and ethical beliefs? a. Continue lithium; deal with the issue of a baby with birth defects if it occurs. b. Continue lithium and encourage the client to undergo a therapeutic abortion. c. Discontinue lithium, use alternative medication, and prepare for hospitalization prn. d. Arrange for involuntary hospitalization for the duration of the pregnancy.
To prepare his 4-year-old son for a new baby, which of the following statements would you suggest a father use?
A) "The new baby will need your bed so we're buying you a new one." B) "It will be fun to have a sister or brother to give your old toys to." C) "A new baby will make our family bigger but not change our love for you." D) "Mother will need to spend a lot of time with the new baby."
The client gave birth to a 7 pound, 14 ounce female 30 minutes ago. The placenta has not yet delivered. Manual removal of the placenta is planned. What should the nurse prepare to do?
1. Start an IV of lactated Ringer's. 2. Apply anti-embolism stockings. 3. Bottle-feed the infant. 4. Send the placenta to pathology.