Which of the following nursing actions is most important for a patient with a neurogenic bladder beginning bladder training?
A) Set up specific times to empty the bladder.
B) Force fluids.
C) Provide adequate roughage.
D) Encourage the use of an indwelling urinary catheter.
Ans: A
Feedback: Patients are taught to write down their voiding pattern and to empty the bladder at the same times each day. Forcing fluids (more than 2 L/day) increases urine production and complicates the initial bladder-training process. Roughage is unnecessary for bladder training. An indwelling urinary catheter is used only when other methods of control don't work.
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A family has revealed to the nurse that the father has begun to be verbally abusive to his wife and
physically abusive to his oldest son since he lost his job 3 months ago. The son is threatening to run away and the wife has developed increased anxiety. An appropriate nursing diagnosis for the family would be a. ineffective coping related to job loss. b. impaired parenting related to father beating son. c. caregiver role strain related to increased tension between parents. d. disabled family coping related to use of verbal and physical abuse.
The nurse recognizes that which one of the following statements is true with regard to the for-mulation of nursing diagnoses?
1. The diagnosis should identify a "cause and effect" relationship. 2. The diagnosis must remain constant during the client's hospitalization. 3. The etiology of the diagnosis must be within the scope of the health care team's practice. 4. The diagnosis should include the problem and the related contributing conditions.
Eating a diet rich in potassium, calcium, sodium, and magnesium may replace which of the following in the body?
A. nutrients B. vitamins C. electrolytes D. fluids
When the home care assistant recognizes and reports abnormal signs and symptoms, she is using good ____________________ skills.
Fill in the blank(s) with the appropriate word(s).