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Author Question: The nurse is attempting to place a urinary catheter for an older adult female client. The nurse is ... (Read 107 times)

Alainaaa8

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on: Jun 25, 2018
The nurse is attempting to place a urinary catheter for an older adult female client. The nurse is unable to visualize the client's urinary meatus. Which alternate position for catheterization may be appropriate for this client?
 
  A) Side-lying, lifting up the buttock.
  B) Supine, with the HOB elevated at 30 .
  C) Supine, with the head of bed (HOB) elevated at 45 .
  D) Supine, with the bed flat, legs bent and apart in stirrups.

Question 2

The nurse is caring for an infant who is scheduled for surgery for pyloric stenosis. When planning the infant's care, which nursing diagnoses are appropriate?
 
  Select all that apply.
  A) Deficient Fluid Volume related to inadequate intake and vomiting
  B) Hyperbilirubinemia related to poor liver function
  C) Sleep Pattern Disturbance related to discomfort and hunger
  D) Parental Anxiety related to surgery
  E) Imbalanced Nutrition, less than body requirements related to inadequate intake and vomiting


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joshbk44

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Reply #1 on: Jun 25, 2018
Answer to Question 1

Answer: A

Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.

Answer to Question 2

Answer: A, C, D

Appropriate nursing diagnoses to include in the infant's plan of care include deficient fluid volume due to poor intake and vomiting; sleep pattern disturbance related to the discomfort and hunger; parental anxiety related to the need for surgical correction; and imbalanced nutrition, less than body requirements due to inadequate intake and vomiting. Jaundice is not a clinical manifestation of pyloric stenosis.


Alainaaa8

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Reply #2 on: Jun 25, 2018
Thank you


joshbk44

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Reply #3 on: Jun 25, 2018
No problemo


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