A older patient recovering from total hip replacement surgery 8 ...

[naturalchemist]

A older patient recovering from total hip replacement surgery 8 hours ago has not been able to void spontaneously. Which actions should the nurse take to assist this patient?
 
  Select all that apply.
  1. Increase fluids.
  2. Turn onto the left side.
  3. Palpate the bladder for distention.
  4. Insert an indwelling urinary catheter.
  5. Complete a bladder scan at the bedside.

Question 2

Which patient information is essential for the nurse to provide the physician who is preparing to administer conscious sedation to a patient?
 
  Select all that apply.
  1. The patient has a history of snoring.
  2. The patient drank a cup of coffee two hours ago.
  3. The patient wants to be asleep for the procedure.
  4. The patient's father was hypertensive.
  5. The patient has a history of gout.

[whitcassie]

Answer to Question 1

Correct Answer: 1, 3, 5

: The nurse should promote fluid intake as allowed, monitoring intake and output. Assess for bladder distention if the patient has not voided within 7 to 8 hours after surgery. Use a portable ultrasound scanner to determine the amount of urine in the bladder. Turning onto the left side will not promote urinary elimination. Urinary catheterizations should be avoided to reduce the potential for urinary tract infections and urethral trauma.

Answer to Question 2

Correct Answer: 1, 2

While all of this information leads to a greater understanding of the patient, the essential information is that the patient snores and that the patient is not NPO. The other information is not relevant at this time.