A nurse identifies a nursing diagnosis of impaired urinary elimination related to urinary tract infection. When developing the plan of care, which of the following would be most important for the nurse to do first?
A) Develop a schedule for bladder emptying
B) Encourage fluid intake
C) Assess usual voiding patterns
D) Monitor intake and output
C
Feedback:
The first action would be to assess the child's usual voiding patterns to establish a baseline to develop an appropriate schedule for bladder emptying. Encouraging fluid intake and monitoring intake and output would be appropriate, but these would not be the first action.
You might also like to view...
The primary sign of breast cancer is a painful mass in the breast, most often in the upper inner quadrant
Indicate whether the statement is true or false
The nurse is preparing to teach a class to a group of clients with dysphagia. Which of the following would be most important for the nurse to include?
A) Brush the tongue twice a day to prevent bad breath. B) The condition can lead to temporomandibular joint pain. C) Thoroughly chew only small amounts of food with each mouthful. D) Regular dental exams are very important.
A patient is admitted to the hospital for severe back spasms and pain. Which of the following skeletal muscle relaxants will act peripherally on the muscle itself?
A) Cyclobenzaprine (Flexeril) B) Carisoprodol (Soma) C) Methocarbamol (Robaxin) D) Dantrolene sodium (Dantrium)
Pain should be assessed regularly in all newborn infants. If the infant is displaying physiologic or behavioral cures indicating pain, measures should be taken to manage the in-fant's pain
Examples of nonpharmacologic pain management techniques include which of the following? (Choose all that apply.) 1. Swaddling 2. Nonnutritive sucking 3. Skin-to-skin contact with the mother 4. Sucrose 5. Acetaminophen