A patient with a history of incontinence will undergo urodynamic testing in the physician's office. Because voiding in the presence of others can cause situational anxiety, the nurse should perform what action?
A) Administer diuretics as ordered.
B) Push fluids for several hours prior to the test.
C) Discuss possible test results as the patient voids.
D) Help the patient to relax before and during the test.
Ans: D
Feedback:
Voiding in the presence of others can frequently cause guarding, a natural reflex that inhibits voiding due to situational anxiety. Because the outcomes of these studies determine the plan of care, the nurse must help the patient relax by providing as much privacy and explanation about the procedure as possible. Diuretics and increased fluid intake would not address the patient's anxiety. It would be inappropriate and anxiety-provoking to discuss test results during the performance of the test.
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