A patient is weak, has diarrhea, and is refusing to use the bedpan but is on bed rest and unable to get out of bed. Which is the best nursing intervention to maintain patient dignity?
a. Keep the bedpan out of the patient's sight until it is needed.
b. Reassure the patient that most people use the bedpan willingly.
c. Instruct the patient that the only alterna-tive for elimination is to use the bedpan.
d. Explain to the patient how the nurse en-sures privacy and safety when the patient is using the bedpan.
D
The nurse increases the likelihood of the patient using the bedpan by explaining how the he or she ensures safety and privacy while the patient uses it. The nurse places the call bell and other items that the patient needs or wants within easy reach, covers the patient sufficiently for privacy and warmth, pulls the privacy curtain, and prevents other people from entering the room while the patient sits on the bedpan. Telling the patient that is the only alternative is not really helpful. Hiding the bedpan is deceitful and defeats the purpose of placing it at the bedside if the patient has a sudden stool. Comparing the patient to other patients to induce cooperation shames the pa-tient and is improper; in addition, it denies the patient the right to information and informed con-sent.
You might also like to view...
A nurse is caring for a client who is about to receive a bone marrow transplant. To best help the client cope with the long recovery period, what action by the nurse is best?
a. Arrange a visitation schedule among friends and family. b. Explain that this process is difficult but must be endured. c. Help the client find things to hope for each day of recovery. d. Provide plenty of diversionary activities for this time.
A patient in the CCU who is undergoing ECG monitoring has impulses originating at the sinoatrial node at a rate of 75 bpm, a shortest RR interval of 0.69 seconds, and a longest RR interval of 0.84 seconds. The P wave is regular
Which sinus rhythm does this patient exhibit? A) Sinus tachycardia B) Sinus bradycardia C) Sinus dysrhythmia D) Sinus arrest
A patient tells the nurse that he becomes very angry and abusive to his friends and family when he is unable to obtain an illegal substance. How should the nurse respond?
1. "Have you considered seeking treatment for this behavior?" 2. "You must not have many friends left.". 3. "Have your actions caused problems for you at work?" 4. "I don't see how that kind of behavior helps get you what you want.".
Which clinical manifestations should the nurse expect when assessing a pediatric client who is diagnosed with Legg-Calvé-Perthes disease? Select all that apply
1. Limited abduction of the affected hip 2. Asymmetry of thigh fat folds 3. Telescoping of the thigh 4. Muscle weakness 5. Atrophy of the muscles