The nurse is caring for a client who has chronic urinary retention and discussing the options. When discussing care, which intervention is considered first?
A) Completing clean intermittent catheterization
B) Inserting a cystostomy tube
C) Applying a condom catheter
D) Using the Credé's maneuver
D
Feedback:
When considering interventions, begin with the least invasive. The Credé's maneuver or manual voiding is completed by pressing on the bladder to further expel urine. This procedure requires no invasive measures that would increase the risk of infection. Intermittent catheterization is an invasive procedure but would remove all urine from the bladder. The most invasive is placing an indwelling catheter surgically through the abdominal wall. A condom catheter is used for males who are incontinent.
You might also like to view...
PQRST mnemonic in nursing
a. It is broadly adapted to elicit symptoms of a possible pneumothorax.
b. It is specifically adapted to elicit symptoms of a possible kidney failure.
c. It is specifically adapted to elicit symptoms of a possible heart attack.
d. none of the options above is correct.
A nurse who has worked for 15 years in the hospital has an opportunity to attend an RN-to-BSN program in her local community, and the hospital will pay for the cost of tuition if she agrees to work there for two years following graduation
The nurse has accepted and is in her first term at the local college. Which of the following skills will she develop through critical and reflective thinking? A) Reading B) Speaking C) Listening D) Writing
According to the Joint National Commission Seventh Report (JNC VII), normal blood pressure is defined as
a. systolic pressure more than 110 mm Hg and diastolic pressure less than 90 mm Hg b. systolic pressure more than 100 mm Hg and diastolic pressure less than 80 mm Hg c. systolic pressure less than 120 mm Hg and diastolic pressure less than 80 mm Hg d. systolic pressure less than 100 mm Hg and diastolic pressure more than 90 mm Hg e. systolic pressure less than 110 mm Hg and diastolic pressure less than 90 mm Hg
A disability is:
a. An artificial replacement for a missing body part b. A chronic illness or disease c. Any lost, absent, or impaired physical or mental function d. A temporary state of impairment