Author Question: The nurse is caring for a confused patient who requires bladder training. Which component of the ... (Read 83 times)

big1devin · **on:** Jun 25, 2018

The nurse is caring for a confused patient who requires bladder training. Which component of the bladder training program can the nurse safely delegate to the nursing assistant?

a. Teaching the patient about a voiding diary
b. Creating a schedule for voiding
c. Creating a schedule for fluids
d. Recording instances of linen changes and fluids offered

Question 2

An 86-year-old patient asks why her ankles have a brownish discoloration and the skin looks thick. Which response best addresses the patient's concern?

a. The valves in the vessels in your legs aren't working as well as they used to, which causes the discoloration and thick-ening of your skin.
b. You probably aren't getting enough iron in your diet. We should talk to your doctor about adding an iron supplement.
c. How many years have you smoked? Ni-cotine will cause these changes in your skin.
d. These are just normal changes seen in most older people.

nhea · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

D
In planning and implementing a bladder training program for your confused patient, there are several ways in which the UAP can provide help. The nurse appropriately delegates reporting and recording any fluids offered and consumed, along with frequency of linen changes. The nurse should perform patient teaching about the diary, especially since the patient is confused; the nurse is responsible for determining the patient's level of comprehension. The nurse should create the schedule for voiding and fluids, and once the schedule is established, the nursing assistant can help the patient to follow the schedule.

Answer to Question 2

A
Hemosiderin leaks out of the trapped red blood cells in the dilated vessels of the feet and ankles, and stains the skin of people with venous insufficiency. In addition, fibrous tissue replaces sub-cutaneous tissue around the ankles and causes the skin to become thick and hardened. Iron and nicotine do not play a role in these skin changes with venous insufficiency, and these are not normal changes associated with aging.