To assist the woman in regaining control of the urinary sphincter after bladder surgery, the nurse should teach the client to do which of the following?
A) Perform Kegel exercises daily.
B) Void every hour while awake.
C) Limit her intake of fluid.
D) Take a laxative every night.
A
Response:
After bladder surgery, the client should perform Kegel exercises daily to strengthen the pelvic floor muscles. Bladder training with voiding every 3 to 5 hours helps to establish normal voiding intervals. Fluids should not be limited; however, the woman should avoid fluids that are irritants, such as caffeinated fluids, soda, and alcohol. Constipation is to be avoided, but a high-fiber diet rather than daily laxative use is recommended.
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a. leader c. high b. middle d. low
The nurse provides a comprehensive initial assessment on a newly admitted client. What is the benefit to establishing this database from the client?
A) It will help determine what unit the patient needs to be admitted to. B) It will inform the healthcare team about what medications are best for the client. C) It will give the healthcare team all of the information about the client. D) It will be a yardstick for measuring effectiveness of care.
As a nurse manager, one challenge is to orient new staff to your agency's policies and procedures, as well as to provide training across various shifts. A cost-effective and effective learning strategy would be:
a. Development of new learning modules and software to support document retriev-al. b. E-mail distribution to staff home e-mail addresses regarding important policies. c. Preparation of DVDs that can be viewed on computers at the nursing station during "down times." d. Linking policies and procedures to the network for access when required at the point-of-care.
The client is experiencing a highly unpredictable response to a drug. This response is considered a(n):
a. drug tolerance. b. idiosyncratic reaction. c. drug allergy. d. adverse effect.