Author Question: A nurse cares for a client who is having trouble voiding. The client states, I cannot urinate in ... (Read 116 times)

newbem · **on:** Jun 25, 2018

A nurse cares for a client who is having trouble voiding. The client states, I cannot urinate in public places. How should the nurse respond?

a. I will turn on the faucet in the bathroom to help stimulate your urination.
b. I can recommend a prescription for a diuretic to improve your urine output.
c. I'll move you to a room with a private bathroom to increase your comfort.
d. I will close the curtain to provide you with as much privacy as possible.

Question 2

A nurse cares for a client who has elevated levels of antidiuretic hormone (ADH). Which disorder should the nurse identify as a trigger for the release of this hormone?

a. Pneumonia
b. Dehydration
c. Renal failure
d. Edema

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

Answer to Question 1

ANS: D
The nurse should provide privacy to clients who may be uncomfortable or have issues related to elimination or the urogenital area. Turning on the faucet and administering a diuretic will not address the client's concern. Although moving the client to a private room with a private bathroom would be nice, this is not realistic. The nurse needs to provide as much privacy as possible within the client's current room.

Answer to Question 2

ANS: B
ADH increases tubular permeability to water, leading to absorption of more water into the capillaries. ADH is triggered by a rising extracellular fluid osmolarity, as occurs in dehydration. Pneumonia, renal failure, and edema would not trigger the release of ADH.