Author Question: An elderly client has been experiencing urinary hesitancy and this has resulted in the client's ... (Read 29 times)

elizabeth18 · **on:** Jul 22, 2018

An elderly client has been experiencing urinary hesitancy and this has resulted in the client's bladder become overdistended with urine. What intervention should the nurse attempt before resorting to the insertion of a urinary catheter?

A) Increase the client's intake of low-pH fluids in order to stimulate bladder function.
B) Encourage the client to perform some vigorous exercise.
C) Run water from the tap in the client's room to stimulate the urge to void.
D) Position the client in a side-lying position.

Question 2

A nurse needs to count a client's apical heart rate. Which of the following assessment sites is most suitable for counting the apical heart rate?

A) Wrist
B) Neck
C) Inner elbow
D) Chest

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

Answer to Question 1

C
Feedback:
General measures to promote urination include using stimuli such as running water from a tap to initiate voiding. A side-lying position does not stimulate voiding. Similarly, acidic fluids and exercise do not stimulate normal urinary function.

Answer to Question 2

D
Feedback:
The apical heart rate is counted by listening at the chest with the stethoscope or by feeling the pulsations in the chest for one minute at an area called the point of maximum impulse (PMI), which is located at the surface of the skin over the apex of the heart. The wrist, neck, and brachial sites are not apical heart rate sites but peripheral pulse sites.