Author Question: A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been ... (Read 33 times)

amal · **on:** Jul 11, 2018

A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to fa-cilitate the restoration of the patient's bladder function?

(Select all that apply.)
a. Assess the patient's recent voiding pat-tern.
b. Request an order for an indwelling cathe-ter from the patient's physician.
c. Teach the patient how to meet hydration needs while still limiting fluid intake.
d. Assist the patient to use the bathroom.
e. Request an order for medication to de-crease bladder spasms.

Question 2

A client who reported a problem sleeping shows an understanding of good sleep hygiene by:

a. doing 10 pushups before bed to encourage a pleasant tiredness.
b. seldom eating a bedtime snack.
c. engaging in computer games as a pre-bed activity.
d. limiting the afternoon nap to just 30 minutes.

Benayers · **Reply #1 on:** Jul 11, 2018

Answer to Question 1

ANS: A, D
When a patient experiences new onset incontinence, the first step is assessment. Assisting the pa-tient to the bathroom has many beneficial aspects to it and it provides a private setting where the patient is in the most normal physiological position to urinate. Placing an indwelling catheter is not a solution to urinary incontinence. Limiting fluids is not indicated in this patient. There is no indication that this patient is having bladder spasms.

Answer to Question 2

ANS: D
Limiting daytime napping to 30 minutes or less is a good sleep hygiene practice. Exercise should be completed at least 4 hours before retiring while a bedtime snack is acceptable if the food is light and easily digested. Computer-focused activities are not generally encouraged as a part of a bedtime routine.