A nurse is caring for a client who has an upper motor neuron lesion who wishes to achieve bladder control. Which intervention is most likely to be effective in stimulating initiation of voiding for this client?
A. Stroking the inner aspect of the thigh
B. Using intermittent catheterization
C. Providing digital anal stimulation
D. Using the Valsalva maneuver
A
In clients with upper motor neuron problems, such as spinal cord injury, stroking the inner aspect of the thigh, pulling on the pubic hair, pouring warm water over the perineum, and tapping the bladder area are interventions that can initiate voiding.
You might also like to view...
The nurse manager is challenged to find an innovative way to adequately staff the unit and provide quality nursing care. Which ability would be most useful to the nurse in this situation?
1. Creativity 2. Problem solving 3. Brainstorming 4. Decision making
What immediate actions will you take?
What will be an ideal response?
Which of the following would define preload?
a. Amount of force ventricles exert to open valves and eject blood b. Degree of muscle stretch in atrium during diastole c. Degree of stretch in ventricles before systole d. Ejection of blood from ventricles
A nurse is meeting a patient for the first time. The importance of establishing baseline data is that it will enable the nurse to assess:
A. physiological outcomes of care. B. the normal range of physical findings. C. a pattern of findings identified when the patient is first assessed. D. clinical judgments made about a patient's changing health status.