Patients with urinary incontinence are unable to completely empty ...

[nummyann]

Patients with urinary incontinence are unable to completely empty their bladder. The nurse can assist a patient to void by using which of the following methods? (Select all that apply.)
 
  a. Completing manual bladder compression
  b. Having the patient assume the normal position for voiding
  c. Telling the patient to void only when he or she has the urge
  d. Pressing down on the right and left flanks of the patient
  e. Running water in the sink

Question 2

A patient with a Foley catheter needs a urine sample for culture and sensitivity. What is the most appropriate action for the nurse to take?
 
  a. Disconnect the drainage tube from the catheter.
  b. Open the drainage bag and withdraw urine.
  c. Withdraw urine from the closed system drainage bag.
  d. Insert a sterile blunt cannula in the catheter port to withdraw urine.

[Natalie4ever]

Answer to Question 1

A, B, E
To promote relaxation and stimulate bladder contractions, use sensory stimuli (e.g., turning on running water, putting a patient's hand in a pan of warm water, or stroking the female patient's inner thigh) and providing privacy. A strategy to promote relaxation and stimulate bladder contractions is to help patients assume the normal position for voiding. Encourage patients to attempt voiding according to the clock, not urge.

Answer to Question 2

D
Disconnecting the drainage tube from the catheter breaches sterile technique and can cause introduction of bacteria into the system. Because urine in the drainage bag can rapidly grow bacteria, never take a urine sample from the drainage bag.