The nurse is caring for a client with a lower motor neuron lesion who wishes to achieve bladder control. Which intervention does the nurse implement to effectively stimulate the initiation of voiding for this client?
a. Stroking the inner aspect of the thigh
b. Intermittent catheterization
c. Digital anal stimulation
d. The Valsalva maneuver
D
In clients with lower motor neuron problems, such as spinal cord injury, performing a Valsalva maneuver or tightening the abdominal muscles are interventions that can initiate voiding. The other interventions do not initiate voiding.
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A nurse is working in a clinic where children from several cultures are seen. As a first step toward the goal of personal cultural competence, the nurse will:
1. Enhance cultural skills. 2. Gain cultural awareness. 3. Seek cultural encounters. 4. Acquire cultural knowledge.
A nurse has agreed to serve as an expert witness in a jury trial. What is this nurse's major ethical concern?
1. Ability to stay objective and unbiased in the work 2. Fulfilling the obligation to "fill in the blanks" in the medical record 3. To explain that unexpected outcomes sometimes occur in health care 4. To make a logical and fair decision at trial
When a patient with type 2 diabetes is admitted for a cholecystectomy, which nursing action can the nurse delegate to a licensed practical/vocational nurse (LPN/LVN)?
a. Communicate the blood glucose level and insulin dose to the circulating nurse in surgery. b. Discuss the reason for the use of insulin therapy during the immediate postoperative period. c. Administer the prescribed lispro (Humalog) insulin before transporting the patient to surgery. d. Plan strategies to minimize the risk for hypoglycemia or hyperglycemia during the postoperative period.
Understanding sex roles begins in the preschool stage of development
True False