A frustrated patient reports that, after two surgeries to correct incontinence, she is still involunta-rily voiding. Which suggestion by the nurse would be most helpful to the patient at this time?
a. Wear heavy pads.
b. Keep a voiding diary.
c. Acquire an indwelling catheter.
d. Attempt to void every hour.
B
Keeping a voiding diary identifies involuntary voiding times that can be averted by using the toilet just before the identified times and using the diary to set up a voiding schedule.
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A patient has heart failure. The patient's medications include an angiotensin-converting enzyme (ACE) inhibitor, a beta blocker, and a diuretic. To keep the patient safe, the nurse should:
a. weigh the patient daily using different scales for comparison. b. monitor daily weight, comparing with the previous day's weight. c. teach that daily weights are done in hos-pitals, but not at home. d. weigh the patient at different times of the day to determine trends.
Using a mannequin, the nurse demonstrates wound care for a client. To promote client learning, which of the following should the nurse do next?
a. Complete the wound care on the client, explaining the procedure while performing it. b. Have the client watch a video explaining sterile techniques that will be used for wound care. c. Have the client perform the wound care with the nurse present to supervise. d. Ask the client to review literature and perform the care at a later time.
The nurse is caring for a 7-year-old boy whose left leg is immobilized. What is the priority nursing intervention?
A) Enlist the assistance of a child life specialist. B) Explain to the boy that he must keep his leg very still. C) Apply a clove hitch restraint to the boy's left leg. D) Explain that a restraint will be applied if he cannot hold still.
The nurse is completing a health history for a client and begins to obtain a sexual history. What is the nurse's best opening question?
a. "How long have you been sexually ac-tive?" b. "Are you in a monogamous relationship with your spouse?" c. "How do you feel about answering ques-tions about your sexual history?" d. "Have you noticed any problems with your ability to have or enjoy sex?"