The nurse is caring for a patient in the postanesthesia care ...

[fahad]

The nurse is caring for a patient in the postanesthesia care unit. The patient asks for a bedpan and states to the nurse, I feel like I need to go to the bathroom, but I can't.
 
   Which of the following nursing interventions would be most appropriate? a. Encourage the patient to wait a minute and try again.
  b. Call the physician and obtain an order for catheterization.
  c. Assess the patient's intake and the patient for bladder distention.
  d. Inform the patient that everyone feels this way after surgery.

Question 2

During which aspect of the nursing process will the nurse most likely consult with other health professionals?
 
  a. Assessment
  b. Diagnosis
  c. Implementation
  d. Evaluation

[leahm14]

Answer to Question 1

C
Depending on the surgery, some patients do not regain voluntary control over urinary function for 6 to 8 hours after anesthesia. Assess the amount of fluid that the patient obtained while in surgery, and palpate the lower abdomen just above the symphysis pubis for bladder distention. If fluid intake is not excessive and the bladder is nondistended, allowing some time might be appropriate. Not everyone feels as if they need to go but can't after surgery. If the bladder is distended and the patient is unable to void, a catheter might be in order.

Answer to Question 2

C

Feedback
A Consultation can occur in assessment, but it occurs most frequently in planning and implementation.
B Nursing diagnoses are an independent action of the nurse.
C Although consultation can occur at any step in the nursing process, it occurs most often during the planning and implementation phases, when problems necessitating additional knowledge, skills, or resources arise.
D Consultation can occur in evaluation, but it occurs most frequently in planning and implementation.

[fahad]

Gracias!

[Alyson.hiatt@yahoo.com]

Excellent