Author Question: Following a cesarean section, a client's Foley catheter is discontinued at 2400 . She has not been ... (Read 103 times)

mpobi80 · **on:** Jun 27, 2018

Following a cesarean section, a client's Foley catheter is discontinued at 2400 . She has not been able to void by 0600 and the fundus has risen from u/u to u+2 . What would be the correct nursing action?

a. After checking for a p.r.n. order, perform straight catheterization now.
b. Ask her to notify you as soon as she feels an urgency to void.
c. Ask if she has any bladder discomfort and medicate as ordered.
d. Force fluids if she is able to take liquids.

Question 2

Achondroplasia is characterized by

a. hyperelasticity of the skin, hyperflexible joints, and poor wound healing
b. shortened limbs and a normal-length torso
c. skeletal abnormalities including arachnodactyly and scoliosis
d. multiple soft tumors and caf-au-lait spots

bhavsar · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
The bladder needs to be emptied, to avoid urinary strain and retention. An overfilled bladder will interfere with uterine involution. If she is unable to void and her bladder is so overfilled as to displace the uterus, it is doubtful the client will experience an urge to void. Medicating and forcing fluids will not address the problem of bladder distention.

Answer to Question 2

B
As the most common form of dwarfism, shortened limbs and a normal-length torso are characteristic of achondroplasia. Hyperelasticity of the skin, hyperflexible joints, and poor wound healing are characteristics of Ehlers-Danlos syndrome. Skeletal abnormalities including arachnodactyly and scoliosis are characteristic of Marfan syndrome. Multiple soft tumors and caf-au-lait spots are characteristic of neurofibromatosis.