A postoperative prostatectomy patient is discouraged that he is still dribbling and wearing a protective pad 1 month after surgery. Which action should the nurse suggest?
a. Eat a low-residue diet to reduce urinary retention.
b. Drink grapefruit juice to tighten the uri-nary sphincter.
c. Acquire an indwelling catheter to prevent leakage.
d. Practice Kegel exercises several times a day.
D
Kegel exercises increase the strength of the perineal floor muscle and will reduce dribbling. Changes in dietary intake, grapefruit juice consumption, or insertion of an indwelling catheter will not provide the restorative care that the patient needs to correct the problem.
You might also like to view...
Asthma is a chronic illness and requires life-long management by patients and clinicians to achieve the goals of therapy. The signs and symptoms of this disease are primarily attributable to what pathophysiological process?
A) Acute inflammation of the patient's hyperresponsive airway B) Hypersecretion of mucus by goblet cells in the upper airway C) Misinterpretation of chemoreceptor signals by the pons and medulla D) Autoimmune destruction of the mucosa in the patient's upper airway
Persistent early decelerations are noted. The nurse's first action would be to:
1. Turn the mom on her left side and give oxygen. 2. Check for prolapsed cord. 3. Do nothing. This is a benign pattern. 4. Prepare for immediate forceps or cesarean delivery.
The nurse has admitted a child with a ventricular septal defect to the unit. Which of the following is an appropriate nursing diagnosis for this child?
1. Impaired gas exchange related to pulmonary congestion secondary to the increased pulmonary blood flow 2. Fluid volume, deficient related to hyperthermia secondary to the congenital heart defect 3. Acute pain related to the effects of a congenital heart defect 4. Hypothermia related to decreased metabolic state
The practical/vocational nursing student asks an instructor, "How perfect do I have to be to pass my clinical evaluation? Are any mistakes allowed?" vid
The best response by the instructor is, "The expected standard of performance in clinical lab is to provide patient care a. at the level of an LPN/LVN." b. with a minimum of two errors." c. at the same level as your classmates." d. with manual dexterity and confidence."