Author Question: A postpartum patient has been unable to void since her delivery of a baby this morning. Which of the ... (Read 76 times)

Pea0909berry · **on:** Jul 22, 2018

A postpartum patient has been unable to void since her delivery of a baby this morning. Which of the following nursing measures would be beneficial for the patient initially?

a. Increase the patient's fluid intake to 3500 mL.
b. Insert in-dwelling Foley catheter.
c. Pour warm water over the patient's perineum.
d. Apply firm pressure over the patient's bladder.

Question 2

What does the final R represent when using the I-SBAR-R communication technique?

a. Recovery
b. Repeat back
c. Reorganization
d. Reintegration

succesfull · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

C

Feedback
A A patient with normal renal function who does not have heart or kidney disease should drink up to 2000 mL of fluid daily. Increasing the patient's fluid intake to 3500 mL is excessive.
B Because bladder catheterization carries the risk of UTI, it should be avoided if possible. The nurse should try other noninvasive measures to promote urination before calling the physician for an order to insert a Foley catheter.
C The nurse can pour warm water over the patient's perineum and create the urge to urinate.
D The nurse should not apply firm pressure over the bladder of a postpartum woman with an intact nervous system. The nurse could create more damage by exerting force on the patient's uterus at this time.

Answer to Question 2

B

Feedback
A Recovery does not represent the final R in I-SBAR-R.
B The final R in I-SBAR-R represents repeat back, which includes repeating back orders that have been given or clarifying any questions.
C Reorganization does not represent the final R in I-SBAR-R.
D Reintegration does not represent the final R in I-SBAR-R.