Since returning from surgery the client has not voided for 8 hours; therefore, the nurse determines it is necessary to assess the client for bladder distention. Which client position is appropriate for this assessment?
1. Supine with only a small pillow under their head.
2. Prone position.
3. Sitting in bed at a 45-degree angle.
4. Lying in a left lateral position.
Correct Answer: 1
The bladder, when empty, is usually not palpable. As the bladder fills, the fundus can be palpated anywhere between the symphysis pubis to the level of the umbilicus When distended, the bladder will feel firm, smooth, symmetric, and non-tender. Lying supine with a small pillow under the head will allow for proper palpation of a distended bladder. The other positions will not allow proper palpation of the bladder.
You might also like to view...
What training system may help prevent osteoporosis?
a. Acupressure b. Yoga c. Therapeutic massage d. Tai chi
Amphotericin B is the drug of choice for which systemic mycosis? (Select all that apply.)
a. Aspergillosis b. Candidiasis c. Dermatophytosis d. Histoplasmosis e. Mucormycosis
Standard Precautions to prevent transmission of pathogens should be used when the nurse is likely to come into contact with blood, urine, stool, and sputum. Evidence has suggested which other bodily fluid may necessitate precautions?
1. Tears 2. Sweat 3. Semen 4. Ear wax
The nurse is caring for children with special needs. Which of the following is a recommended nursing consideration when dealing with the families of these children?
A) In the hospital, first show the family the best way of carrying out a procedure. B) Assist the family to set realistic long-term goals. C) Encourage the family to be very protective of their child. D) Tell parents to assign the child household chores and responsibilities.