A nurse is working with a client who has overflow incontinence, helping the client to achieve bladder control. Which intervention is most likely to be effective in stimulating initiation of voiding for this client?
A. Stroking the medial aspect of the thigh
B. Using intermittent catheterization
C. Providing digital anal stimulation
D. Using the Valsalva maneuver
D
In clients with overflow incontinence, the voiding reflex arc is not intact. Mechanical pressure, such as that achieved through the Valsalva maneuver (holding the breath and bearing down as if to defecate) can initiate voiding.
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According to the National Center for Complementary and Alternative Medicine, complementary medicine is
a. prescribed and overseen by a medical physician. b. treatment of a physical illness by a spiritual intervention. c. used in place of conventional medicine. d. used together with conventional medicine.
A patient of Jewish heritage is experiencing body aches and fatigue. The nurse notes that the patient's skin appears pale and yellow-tinged. What nutritional health problem should the nurse suspect is occurring in this patient?
1. Tangier disease 2. hypercholesterolemia 3. Gaucher disease 4. Lynch Syndrome
The client has been hospitalized after a severe closed head injury and has erratic tympanic temperatures. Which is the most likely cause of the client's abnormal temperature fluctuations?
1. Measuring variations by the nursing assistant 2. Increased loss of client heat from vasodilation 3. Evaluating the vital signs at four-hour intervals 4. Increased intracranial pressure on hypothalamus
The nurse is assessing the pain of a client experiencing angina. Which of the following should be included in this assessment? (Select all that apply.)
1. Precipitating event 2. Quality 3. Radiation 4. Severity 5. Timing 6. Medication