Author Question: A patient is having difficulty voiding in a bedpan but states that she feels her bladder is full. To ... (Read 61 times)

FButt · **on:** Jul 23, 2018

A patient is having difficulty voiding in a bedpan but states that she feels her bladder is full. To stimulation micturition, which nursing intervention should the nurse try first?

a. Exiting the room and informing the patient that the nurse will return in 30 minutes to check on the patient's progress
b. Utilizing the power of suggestion by turning on the faucet and letting the water run
c. Obtaining an order for a Foley catheter
d. Administering diuretic medication

Question 2

A nurse is caring for an 8-year-old patient who is embarrassed about urinating in his bed at night. Which intervention should the nurse suggest to reduce the frequency of this occurrence?

a. Drink your nightly glass of milk earlier in the evening.
b. Set your alarm clock to wake you every 2 hours, so you can get up to void.
c. Line your bedding with plastic sheets to protect your mattress.
d. Empty your bladder completely before going to bed.

frogdreck123456 · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

ANS: B
To stimulate micturition, the nurse should attempt noninvasive procedures first. Running warm water or stroking the inner aspect of the upper thigh promotes sensory perception that leads to urination. A patient should not be left alone on a bedpan for 30 minutes because this could cause skin breakdown. Catheterization places the patient at increased risk of infection and should not be the first intervention attempted. Diuretics are useful if the patient is not producing urine, but they do not stimulate micturition.

Answer to Question 2

ANS: A
Nightly incontinence and nocturia are often resolved by limiting fluid intake 2 hours before bedtime. Setting the alarm clock to wake does not correct the physiological problem, nor does lining the bedding with plastic sheets. Emptying the bladder may help with early nighttime urination, but will not affect urine produced throughout the night from late-night fluid intake.