The nurse removes the client's indwelling urinary catheter but, 8 hours later, the client has not voided. Which intervention should the nurse try first to facilitate client voiding?
1. Run a trickle of water in the bathroom.
2. Apply rolling motion over the bladder.
3. Ask about voiding difficulties in the past.
4. Instruct client to run warm water on perineum.
3
3. The nurse assesses the client for a history of voiding difficulties, especially after removal of an indwelling catheter, and asks the client about successful strategies that facilitated voiding. The client difficulties often arise from the physical distortion of the urinary meatus and sphincters by the urinary catheter and, after the urethra and sphincters return to normal and regional edema improves several hours later, the client voids.
1, 2, and 4. Running water in the bathroom, running warm water over the perineum, and applying gentle pressure to the bladder are suitable techniques to stimulate urina-tion after assessing the client.
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The nursing supervisor is assessing a unit that has received several written complaints. The nurse manager seems overwhelmed and stressed trying to address many client situations. The charge nurse is trying to help everyone at once
Based on this assessment, what might this supervisor conclude? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Standard Text: Select all that apply. 1. The nurse manager is inexperienced and needs time to adjust. 2. The unit culture may foster distrust and poor communication among staff. 3. Client complaints are usually an indicator of a larger unit problem. 4. Nurses on the unit are in need of additional training and skills. 5. The unit is short staffed.
A nurse caring for a patient who has had bariatric surgery is developing a teaching plan in anticipation of the patient's discharge. Which of the following is essential to include?
A) Drink a minimum of 12 ounces of fluid with each meal. B) Eat several small meals daily spaced at equal intervals. C) Choose foods that are high in simple carbohydrates. D) Sit upright when eating and for 30 minutes afterward.
What is contraindicated for a patient performing Buerger-Allen exercises?
a. Lying on the stomach b. Raising legs for 2 minutes until they blanch c. Lowering the legs until the color returns d. Keeping legs flat for 5 minutes and then repeat the exercise
The Quality and Affordable Care Act of 2010 addresses a large variety of issues and policies related to the provision of healthcare in the United States. Which of the following situations is most likely to be affected by the provisions of this act?
A) A new resident of a small town has been unable to find a family physician who is accepting new patients. B) A citizen has been falsifying documents and tax returns in order to qualify for Medicare. C) A man is engaged in a dispute with his health maintenance organization (HMO) over reimbursement for an emergency procedure. D) A woman is unsure where to bring her daughter for an annual influenza vaccination.