An 85-year-old client with limited mobility is incontinent of urine. An expected outcome of the plan of care is to maintain skin integrity. Which of the following interventions most appropriate?
A) Assess the patient for wetness every 2 hours
B) Complete ultrasound bladder scans after each void to measure residual volume of urine
C) Ensure the client remains free of urine odor
D) Obtain an order for the insertion of an indwelling catheter
A
Feedback:
Catheter use should be avoided. Checking the patient for wetness is critical to maintaining skin integrity and would supersede the importance of odor. Postvoid residual scans would be helpful for incomplete emptying of the bladder.
You might also like to view...
The nurse is planning interventions to reduce an older patient's risk of dehydration. Which intervention would support the onset of dehydration in the patient?
1. Ensuring fresh water is available to the patient 2. Providing the prescribed diuretic with breakfast 3. Administering the prescribed diuretic with the evening meal 4. Offering a drink of water every time the patient's room is entered
The nurse is writing a care plan for a patient admitted to the Emergency Department (ED) with an open fracture. The nurse will assign priority to what nursing diagnosis for a patient with an open fracture of the radius?
A) Risk for infection B) Risk for activity intolerance C) Risk for imbalanced nutrition: less than body requirements D) Risk for powerlessness
Before death occurs, the patient's limbs should be ____________________.
Fill in the blank(s) with the appropriate word(s).
Which of the following statements is true of anemia?
A. The characteristic symptoms of anemia include weakness, fatigue, irritability, and pallor. B. Anemia is typically caused by an abnormal increase in the number of circulating red blood cells. C. Inherited anemias can be successfully treated or cured with drug replacement therapy. D. All forms of anemia are inherited.