This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: The nurse is working with a client with a spinal cord injury and an indwelling urinary catheter. ... (Read 133 times)

jho37

  • Hero Member
  • *****
  • Posts: 531
on: Jul 24, 2018
The nurse is working with a client with a spinal cord injury and an indwelling urinary catheter. Maintaining patency of the catheter is critical to avoid autonomic dysreflexia from an extended bladder.
 
  The nurse is alerted to this complication if the client experiences: A. Pallor
  B. Skin dryness
  C. Hypotension
  D. Bradycardia

Question 2

A nonpharmacological approach that the nurse may implement for patients who are experiencing pain that focuses on diverting the patient's attention away from the pain sensation by promoting pleasurable and meaningful stimuli is:
 
  a. massage.
  b. heat/cold.
  c. guided imagery.
  d. distraction.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

jaymee143

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 24, 2018
Answer to Question 1

D
D. Client with a spinal cord transection experiences the following symptoms: blood pressure (BP) elevated to 200 mm Hg systolic, bradycardia, headache, flushing and sweating above the spinal level of the injury. Spinal cordinjured (SCI) clients run the risk of autonomic dysreflexia (hyperreflexia) when exposed to a noxious stimulus such as a full bladder.
A, B, and C. These are indicators of possible dehydration.

Answer to Question 2

D
Distraction is a technique that diverts an individual's attention away from the pain sensation. By introducing meaningful stimuli, the nurse helps the patient refocus attention. Distraction directs a patient's attention to something else and thus can reduce awareness of pain and even increase tolerance. A proper massage not only blocks the perception of pain impulses but also helps relax muscle tension and spasm that otherwise might increase pain. Massage hastens the elimination of wastes stored in muscles, improves oxygenation of tissues, and stimulates the relaxation response in the nervous system. Heat produces vasodilation, reduced blood viscosity, reduced muscle tension, and increased tissue metabolism. Heat helps relieve muscle spasms and joint stiffness. Cold produces vasoconstriction, reduced cell metabolism, and increased blood viscosity. Cold is effective for inflamed joints and muscles. The goal of imagery is to have the patient use one or several of the senses to create an image of the desired result. This image creates a positive psychophysiological response. Guided imagery can be used as a distraction technique.


jho37

  • Hero Member
  • *****
  • Posts: 531
Reply #2 on: Jul 24, 2018
TY


jaymee143

  • Sr. Member
  • ****
  • Posts: 341
Reply #3 on: Jul 24, 2018
You're welcome


« previous next »
 

Did you know?

The Food and Drug Administration has approved Risperdal, an adult antipsychotic drug, for the symptomatic treatment of irritability in children and adolescents with autism. The approval is the first for the use of a drug to treat behaviors associated with autism in children. These behaviors are included under the general heading of irritability and include aggression, deliberate self-injury, and temper tantrums.

Did you know?

Adult head lice are gray, about ? inch long, and often have a tiny dot on their backs. A female can lay between 50 and 150 eggs within the several weeks that she is alive. They feed on human blood.

Did you know?

A cataract is a clouding of the eyes' natural lens. As we age, some clouding of the lens may occur. The first sign of a cataract is usually blurry vision. Although glasses and other visual aids may at first help a person with cataracts, surgery may become inevitable. Cataract surgery is very successful in restoring vision, and it is the most frequently performed surgery in the United States.

Did you know?

Once thought to have neurofibromatosis, Joseph Merrick (also known as "the elephant man") is now, in retrospect, thought by clinical experts to have had Proteus syndrome. This endocrine disease causes continued and abnormal growth of the bones, muscles, skin, and so on and can become completely debilitating with severe deformities occurring anywhere on the body.

Did you know?

Though Candida and Aspergillus species are the most common fungal pathogens causing invasive fungal disease in the immunocompromised, infections due to previously uncommon hyaline and dematiaceous filamentous fungi are occurring more often today. Rare fungal infections, once accurately diagnosed, may require surgical debridement, immunotherapy, and newer antifungals used singly or in combination with older antifungals, on a case-by-case basis.

When working with the patient with impaired hearing, the interpreter needs to direct questions to th When working with the patient with impaired hearing, the interpreter needs to direct questions to th
The nurse assesses the patient's ability to use the walker correctly The nurse assesses the patient's ability to use the walker correctly
Brain, spinal cord, and spinal nerves with an expanded view of a spinal nerve. Brain, spinal cord, and spinal nerves with an expanded view of a spinal nerve.
Demonstration of the function of a balloon-tipped catheter during a PTCA procedure. Demonstration of the function of a balloon-tipped catheter during a PTCA procedure.
Foley catheter. Foley catheter.
(A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ... (A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ...
Video: Glomerular filtrate rate: pressures that affect GFR, NFP & GFR and blood composition

For a complete list of videos, visit our video library