Assessing the client's bladder function and assisting a client ...

[bcretired]

Assessing the client's bladder function and assisting a client who is facing a problem with these function is a fundamental nursing responsibility.
 
  Based on this information, what should the nurse include in the client's teaching about the amount of urine that is collected in the bladder that will trigger the client to have the urge to void? A) 250 mL
  B) 350 mL
  C) 400 mL
  D) 500 mL

Question 2

The nurse checks the skin of a client with edema by placing a finger on the client's skin and applying slight pressure. The nurse notes that the skin returns to normal in a second or so. How would the nurse document this finding?
 
  A) No edema present
  B) +1 pitting edema
  C) +2 pitting edema
  D) Nonpitting edema present

[jlaineee]

Answer to Question 1

A
Feedback:
The urge to void (urinate) is triggered when approximately 250 mL of urine has collected in the bladder. However, the adult bladder can hold approximately 400 to 500 mL when it is moderately full.

Answer to Question 2

B
Feedback:
Pitting edema is the descriptive term used to describe serious observable edema that dents under slight finger pressure. The healthcare provider can indicate the extent of pitting edema by using a finger to press against the area of swelling. Generally, a scale of +1 to +4 is used to describe the intensity of the edema. If the dent remains for only a second or so, the nurse would record plus one (+1) pitting edema. When a dent remains for 2, 3, or 4 or more seconds, the observation is charted as +2, +3, or +4 pitting edema, respectively. Nonpitting edema, which can also be severe, refers to swelling that does not indent when slight pressure is applied.

[bcretired]

TYSM

[ttt030911]

Gracias!