Which of the following desired client outcomes is correct for a client with the nursing diagnosis Stress Urinary Incontinence related to sphincter incompetence?
1. The client will empty her bladder every time she voids.
2. The client will improve her incontinence within 1 month.
3. The client will perform four to five squeezes for 5 to 10 seconds.
4. The client will stop the flow of urine when voiding.
Correct Answer: 3
Rationale 1: Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time.
Rationale 2: Improved continence takes 3 to 6 months, so 1 month is not a realistic goal.
Rationale 3: Performing four to five squeezes for 5 to 10 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence.
Rationale 4: Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.
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Which statement made by a patient should serve as the priority focus for the plan of care?
a. "I can always trust my family." b. "It seems like I always have bad luck." c. "You never know who will turn against you." d. "I've been hearing the voices of my dead parents."
An institutional review board (IRB) ensures that (1) the rights and welfare of the individuals involved were protected, (2) the appropriate methods were used to secure informed consent,
and (3) the potential benefits of the investigation were greater than the risks. Which of the following is an example of how an IRB determines the level of potential risk? a. It requires the researcher to provide a list of potential benefits to the clients, as well as the results of a pilot study verifying this. b. It compels the researcher to disclose his consenting process. c. It provides for a supervisor from the IRB to be present for all data collection. d. It reviews the researcher's description of the study's potential risks and compares them with everyday risk.
A patient is to receive trimethoprim/sulfamethoxazole (Septra) intravenously. The drug is mixed in 250 mL of D5W and is to be administered over 90 minutes. With a drop factor of 15 gtt/mL, how many drops per minute is the correct infusion rate?
a. 10 b. 20 c. 30 d. 40