After spinal shock has been resolved, an indwelling catheter is removed. What way should the nurse expect this patient to empty the bladder?
a. Manual expression (Credé method)
b. Spontaneous reflexive action
c. Normal voluntary control
d. Self-catheterization
B
After spinal shock resolves, spasticity of the bladder causes spontaneous emptying.
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A nursing student is working to develop assessment skills. The student knows that nurses utilize principles of assessment:
1. Upon admission. 2. Throughout hospitalization. 3. At the point of entry to care. 4. Prior to discharge.
A nurse in a long-term care facility is seeing a 79-year-old patient who has schizophrenia and has been prescribed a benzodiazepine for agitation. For which factor will the nurse assess the patient following administration of the benzodiazepine?
Select all that apply. 1. Mobility issues 2. Physical decline 3. Tardive dyskinesia 4. Cognitive impairment 5. Long-term memory loss
Which of these findings would be the most significant when assessing a patient who has multiple traumas as a result of a motor vehicle accident?
1. a respiratory rate of 24 breaths per minute 2. a heart rate of 100 beats per minute 3. hypotension 4. pain in one arm
The nurse teaches a class for the public about diabetes mellitus. Which individual does the nurse assess as being at highest risk for developing diabetes?
1. The 38-year-old client who smokes one pack of cigarettes per day 2. The 42-year-old client who is 50 pounds overweight 3. The 50-year-old client who does not get any physical exercise 4. The 56-year-old client who drinks three glasses of wine each evening