Author Question: A client at a health care facility complains to the nurse that when going about his day he is often ... (Read 106 times)

ssal · **on:** Jul 22, 2018

A client at a health care facility complains to the nurse that when going about his day he is often unable to hold his urine while he tries to locate a toilet. How should the nurse document this incontinence in the client?

A) Stress
B) Urge
C) Functional
D) Total

Question 2

The nurse notes that a client's temperature has increased from 102F (38.9C) to 104F (40C). Which of the following is the most appropriate action for the nurse to take in this situation?

A) Consult the physician and give antipyretics to the client.
B) Provide physical cooling measures to the client.
C) Suggest that the client rest and take plenty of fluids.
D) Cover the client's head with a cap or a towel.

Sweetkitty24130 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C
Feedback:
The nurse should document the client's condition as functional incontinence when the client is unable to retain urine for some time after getting an urge to void. Stress incontinence can result in the loss of small amounts of urine when intra-abdominal pressure rises. Urge incontinence is the need to void perceived frequently with a short-lived ability to sustain control of flow. Total incontinence is the loss of urine without any identifiable pattern.

Answer to Question 2

A
Feedback:
The nurse should consult the physician and give the client antipyretics. Antipyreticsdrugs that reduce feversuch as Tylenol would be helpful in this case when the client's body temperature is between 102F and 104F (38.9 to 40C). Physical cooling measures are used when the temperature exceeds this. When the temperature is below 102F (38.9C) and the client does not have any chronic medical condition, the nurse will ask the client to take plenty of fluids and rest, and will monitor the fever. The nurse will cover the client's head with a cap or a towel when the client has subnormal temperature, not when the client's temperature is above normal, since this measure helps to reduce heat loss.