A client has an autonomous neurogenic bladder. The nurse plans care for this client understand-ing that the client
a. cannot perceive bladder fullness or initiate or maintain urination.
b. feels no bladder-filling sensation but empties the bladder reflexively.
c. feels the sensation of the bladder filling but cannot initiate micturition.
d. has a temporary problem with initiating micturition.
A
The client with an autonomous neurogenic bladder can neither perceive bladder fullness nor in-itiate or maintain urination without some type of "assistance" (e.g., applying external pressure on the abdomen). Clients with motor paralytic bladders can feel the bladder filling, even to the point of pain, but cannot initiate micturition. This condition can be temporary if a bacterial or viral in-fection is the cause. Reflex neurogenic bladder causes the client to be unable to feel bladder fill-ing, and bladder emptying is done reflexively, although it may be incomplete.
You might also like to view...
What is a nurse's purpose for providing appropriate feedback?
1. To give the client good advice 2. To advise the client on appropriate behaviors 3. To evaluate the client's behavior 4. To give the client critical information
A client has been admitted for a commissurotomy. You know that a commissurotomy repairs which of the following?
A) A ventricle B) A valve C) Part of the myocardium D) An artery
A patient is diagnosed with an acute onset of pulmonary embolism. Rank the illness behaviors that this patient may demonstrate in the commonly recognized sequence
Choice 1. experiencing symptoms Choice 2. assuming a dependent role Choice 3. seeking medical care Choice 4. assuming the sick role Choice 5. recovery and rehabilitation
All of the following are major concepts in Roy's Adaptation Model EXCEPT
A. Environment. B. Health. C. Unity. D. Goal of nursing.