THE NURSE IS CARING FOR AN OLDER ADULT WITH BLADDER INCONTINENCE DUE TO DECREASE BLADDER CAPACITY WHICH INTERVENTION SHOULD THE NURSE PROVIDE THAT WOULD BEST PROTECT THE CLIENT DIGNITY
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- The nurse is caring for an older adult who is receiv- ing oxybutynin (Ditropan) to reduce the occurrence of bladder spasms related to a UTI. For which side effect should the nurse assess the patient? 1. Diaphoresis 2. Palpitations 3. Gastric irritation 4. Orange-colored urineJ.D. is a 64-year-old man who presents to the family practice complaining of increased urination at night. The patient has a past medical history of hypertension, hyperlipidemia, and coronary artery disease (CAD). Vital signs are T 97.5, P 85, R 16, and BP 120/60. What subjective information should the nurse obtain? The nurse is performing the physical examination of the patient’s genitals. What are the major structures of the male genitalia? The nurse needs to assess the patient for a hernia. What is the proper procedure for this assessment?The nurse is caring for a client on the urinary unit. When providing report to the next shift, it is a noted that the client has osteopenia and history of renal calculi. Which of the following disorders would the nurse suspect? Select one: a. Hypothyroidism b. Hypopituitarism c. Hypoparathyroidism d. Hyperparathyroidism.
- Client, Mary Smith, DOB 4/27/1976, was admitted to your unit yesterday with a bladder infection related to the neurogenic bladder. The client is part of your assignment today and she is due for her 10 a.m. medication. You go to see her to administer her medication, and she is complaining of feeling like she needs to urinate but has been unable to void since this morning at 5:30 a.m. You review the client’s chart and find these orders: If the client has not voided within 4 hours, use a bladder scanner to check the residual amount. If residual is > 200mL then perform intermittent urinary catheterization. You use the bladder scanner and see that there is 400mL urine in the bladder. Following the provider’s orders, you perform an intermittent urinary catheterization using a sterile technique. Document the procedure for Intermittent Urinary Catheterization?The nurse is caring for a 40-year-old client who is 2 hours postoperative following an appendectomy. The client received general anesthesia for the procedure and has opioid pain medications prescribed. The client’s vital signs are Temp 97.2°F, HR 105, RR 24 and BP 110/50. The client has had only 30 mL urine output since arriving to the postoperative area. The client is arousable and slow to respond to commands, but has become slightly restless, shifting in the bed frequently. The client states that they “hurt” and asks for something to drink. The last dose of IV pain medication was given to the client just before leaving the surgical suite. Discuss three key pieces of assessment data and why you feel they are important. Discuss nursing interventions you would implement in caring for this client.Scenario Client, Mary Smith, DOB 4/27/1976, was admitted to your unit yesterday with a bladder infection related to neurogenic bladder. The client is part of your assignment today and she is due for her 10 a.m. medication. You go to see her to administer her medication, and she is complaining of feeling like she needs to urinate but has been unable to void since this morning at 5:30 a.m. You review the client’s chart and find these orders: If client has not voided within 4 hours, use bladder scanner to check residual amount. If residual is > 200mL then perform intermittent urinary catheterization. You use the bladder scanner and see that there is 400mL urine in the bladder. Following the provider’s orders, you perform an intermittent urinary catheterization using sterile technique. Document the procedure for the intermittent urinary catheterization for this patient?
- The Nurse is caring for an adolescent with BMI above the 95th percentile with has been experiencing increased urination. Which diagnostic test should the nurse anticiapated?The staff are reviewing plan of care for the client with acute glomerulonephritisWhat are three ) nursing interventions that should be included in the plan of careMr. Cruz is ordered bethanecol (Urecholine) to relieve post-operative urinary retention. Knowing that bethanecol has non-specific drug effect, which would be your best action? Review peak and through levels Check order with physician Withhold the dose Monitor vital signs
- The patient's attending physician visits the patient once a week is appointed by the facility is a specialist in geriatric medicine is chosen by the patientA nurse writing a post-surgical client's plan of care has included ambulation several times daily. What is the best rationale for this intervention?The laboratory findings for a client with chronic kidney disease(CKD) include elevated blood urea nitrogen (BUN) and serum creatinine levels. The client reports feeling fatigued and is unable to concentrate the morning assessments. Baded on these findings, which action should the nurse implement?