The nurse is concerned that a client is experiencing urinary effects of immobility. What did the nurse assess to make this clinical determination?

1. Urine retention
2. Bladder distention
3. Shortness of breath
4. Urinary tract infection


4

Rationale 1: Urine retention is not a urinary effect of immobility.

Rationale 2: Bladder distention is not a urinary effect of immobility.

Rationale 3: Shortness of breath is not a urinary effect of immobility.

Rationale 4: Urinary effects of immobility include an increased risk of infection.

Global Rationale: Urinary effects of immobility include an increased risk of infection. Urine retention, bladder distention, and shortness of breath are not urinary effects of immobility.

Nursing

You might also like to view...

The nurse utilizes syringes to administer parenteral medications. The following principles apply to handling and using a syringe: Standard Text: Select all that apply

1. The nurse handles the barrel, plunger handle, and the shaft of the plunger. 2. The nurse handles the barrel, plunger handle, and the tip of the syringe. 3. Standard hypodermic syringes are marked with unit designations. 4. u-100 syringes are used for insulin. 5. TB syringes hold 1 ml of solution.

Nursing

It is hoped that with early identification of individuals at risk coupled with crisis intervention and ongoing treatment, the incidence of suicide in the United States can be lowered. Ideally, to meet this goal, all

at-risk clients in community settings should be routinely screened by community health nurses for suicide. Using your knowledge of suicide risk factors what method had the highest incidence of deaths? A) Medications B) Drowning C) Firearms D) Hangings

Nursing

A woman using the NuvaRing vaginal ring informs the nurse that the ring was accidentally expelled a day ago. The nurse will instruct this patient to

a. rinse the ring in cool water and reinsert as soon as possible. b. rinse the ring in hot water and reinsert as soon as possible. c. rinse the ring in lukewarm water, reinsert, and use a nonhormonal backup contraceptive. d. insert a new ring.

Nursing

You respond to an apartment complex for an unconscious male. When you arrive, the patient's friend tells you that he overdosed on heroin. Following your local protocol, you administer 2 mg of naloxone. You have 1 mL ampules of naloxone that contain 0.4 mg per ampule. How many ampules will you have to use?

A. 5 B. 4 C. 1 D. 2

Nursing