Answer to Question 1
Answer: D
Draining 800 mL before clamping might cause a vasovagal response, so the charge nurse would need to intervene. Using 2 lidocaine gel 10 mL injected into the male urethra reduces discomfort during catheterization and the risk of catheter-associated infection, and it promotes pelvic muscle relaxation. A coud-tipped catheter is passed more easily in the older man with an enlarged prostate. Some clients experience a vasovagal response, becoming pale, sweaty, and hypotensive, if the bladder is rapidly drained. Draining urine in 500 mL increments and clamping the catheter for 5-10 minutes between increments may prevent this response.
Answer to Question 2
Answer: A
As the body ages, there are anatomical changes can increase the risk for urinary incontinence; however, this is not a normal part of aging. It is appropriate for the nurse to gather more information regarding the client's incontinence. It is beyond the nurse's scope of practice to recommend surgery to the client. Telling the client the nurse understands does not help to determine the cause of the client's incontinence.
Hubba Hubba Nurse Smiley
Intervention Model-Response to Client Misconduct
Apply the substance to the client’s upper chest.
Client files are kept in alphabetical order in locked file cabinets.
Nurse using a stethoscope
Patients Older than 60 Years of Age