Author Question: What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen? ... (Read 81 times)

Mr. Wonderful · **on:** Jun 25, 2018

What should the nurse do first if a patient is unable to void on demand for a clean-voided specimen?

a. Perform Cred's procedure for the suprapubic area.
b. Catheterize the patient to obtain the specimen.
c. Offer fluids, if allowed, and wait about 30 minutes.
d. Notify the physician that the test cannot be completed.

Question 2

If a patient on a hypothermia blanket starts to shiver, what action should the nurse take?

a. Discontinue treatment.
b. Place more padding around the patient.
c. Discuss with the physician the use of a metabolic stimulant.
d. Increase the temperature to a more comfortable range.

nguyenhoanhat · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

C
If the patient is unable to urinate on demand, offer fluids if permitted. Allow more time for urine to accumulate in the bladder. Try obtaining a specimen after 30 minutes. If the patient has no urine in the bladder, Cred's would not be useful. The risk for infection precludes the use of catheterization simply to obtain a specimen. If the patient is unable to void after several hours, the physician may need to be called to obtain an order for catheterization.

Answer to Question 2

D
Adjust the temperature to a more comfortable range and assess whether shivering decreases. If shivering continues, stop treatment and notify the physician.