When the patient complains of urinary retention, the nurse can help the patient to void by: (Select all that apply.)
a. accompanying the patient to the toilet.
b. offering caffeine or carbonated drinks.
c. providing a warm bath.
d. instructing in the double void technique.
e. running water in the lavatory to stimulate urination.
B, C, D, E
All options except accompanying the patient to the toilet are acceptable interventions to assist a patient to void. The patient should be given privacy and adequate time to void.
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After teaching a client who is being discharged home after mitral valve replacement surgery, the nurse assesses the client's understanding. Which client statement indicates a need for additional teaching?
a. "I'll be able to carry heavy loads after 6 months of rest." b. "I will have my teeth cleaned by my dentist in 2 weeks." c. "I must avoid eating foods high in vitamin K, like spinach." d. "I must use an electric razor instead of a straight razor to shave."
The nurse studying the history of gerontologic nursing learns which information about the specialty? (Select all that apply.)
a. The number of older Americans is dimi-nishing. b. The geriatric nursing conference group was established in 1962. c. The gerontologic clinical nurse specialist certification was offered in 1989. d. There were no writings about the care of older persons until World War II. e. The first Standards of Practice for Geria-tric Nursing was written in 1969.
D.W. asks about what plasmapheresis does and why it might help her feel better. Describe
how you would respond. What will be an ideal response?
Chris is a 38-year-old paraplegic patient who had a traumatic brain injury while serving in Afghanistan. He has been a patient in a long-term rehabilitation hospital and was recently admit-ted to an acute-care hospital with failure-to-thrive
On admission, he was found to have a wound on his right scapula. The nurse noted full-thickness tissue loss with tunneling, but did not note any bone, tendon or muscle. This was correctly identified as what stage of a pressure ulcer? A. Stage I B. Stage II C. Stage III D. Stage IV