The male client is having difficulty using the urinal in bed. Which does the nurse implement to facilitate voiding into the urinal?
1. Applies an external urinary catheter
2. Assists client to the upright position
3. Encourages client to void every hour
4. Instructs client to increase fluid intake
2
2. The nurse assists the client into an upright position to facilitate voiding into a urinal because men are accustomed to voiding in a standing position. If sitting upright is ineffective and the client is hemodynamically stable, the nurse assists the client to dangle or to stand for urination into a urinal.
1. Applying an external catheter facilitates containing the urine but not in a urinal.
3 and 4. Decreasing or increasing the volume of urine, voiding hourly, or increasing fluid intake respectively, can be ineffective strategies to facilitate using a urinal in bed if the client must stand to initiate the flow of urine.
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1. "Incontinence is a result of my increasing age.". 2. "A disturbance of my bladder is a factor in the development of incontinence.". 3. "Relaxation of pelvic muscles may be a factor in incontinence.". 4. "Reduced urethral resistance can be a cause of incontinence.".
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