A patient has fallen several times in the past week when attempting to get to the bathroom. The patient informs the nurse that he gets up 3 or 4 times a night to urinate
Which recommendation by the nurse is most appropriate in correcting this urinary problem? a. Clear the path to the bathroom of all obstacles before bed.
b. Leave the bathroom light on to illuminate a pathway.
c. Limit fluid and caffeine intake before bed.
d. Practice Kegel exercises to strengthen bladder muscles.
C
Reducing fluids, especially caffeine and alcohol, before bedtime can reduce nocturia. Clearing a path to the restroom or illuminating the path, or shortening the distance to the restroom, may reduce falls but will not correct the urination problem. Kegel exercises are useful if a patient is experiencing incontinence.
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The nurse is collecting nutritional intake information from a client. The nurse does not feel the client is being forthcoming and honest with the intake self-reports. Which factor may be associated with inaccurate reporting of dietary intake?
1. Female gender. 2. Male gender. 3. Higher socioeconomic levels. 4. Lower educational levels.
A nurse is caring for a patient with stress incontinence. Teaching has been effective if the patient states:
1. "I need to do Kegel exercises to help strengthen the muscles that control the urine." 2. "I need to drink fluids with my meals but not in between meals." 3. "I should not do sit-ups because that will increase my abdominal pressure." 4. "I should avoid things that make me sneeze or cough."
The client has been placed on a 1,200 mL oral fluid restriction. How should the nurse plan for this restriction?
1. Allow 600 mL from 7-3, 400 mL from 3-11, and 200 mL from 11-7. 2. Instruct the client that the 1,200 mL of fluid placed in the bedside pitcher must last until tomorrow. 3. Offer the client softer, cold foods such as sherbet and custard. 4. Remove fluids from diet trays and offer them only between meals.
The adult male client with significant body hair is being prepared for abdominal surgery. The client states his dad had the same surgery many years ago and was shaved prior to the procedure. The nurse would explain to the client:
A) "That practice is no longer standard as shaving may cause breaks in the skin." B) "We no longer shave skin before procedures but we will apply a lotion that will remove the hair." C) "Your abdomen will be shaved in the operating room." D) "You will be shaved as well."