While caring for a hospitalized older adult female post hip ...

[shenderson6]

While caring for a hospitalized older adult female post hip surgery, the new graduate nurse is faced with the task of inserting an indwelling urinary catheter, which involves rotating the hip into a contraindicated position.
 
  The nurse exhibits critical thinking to perform this task by a. Following textbook procedure.
  b. Notifying the physician of the need for a urologist consult.
  c. Adapting the positioning technique to the situation.
  d. Postponing catheter insertion until the next shift.

Question 2

The patient had a colostomy placed 1 week ago. When approached by the nurse, the patient and his wife refuse to talk about it and refuse to be taught about how to care for it.
 
  The nurse realizes that the patient and his wife are in which stage of adjustment? a. Shock
  b. Withdrawal
  c. Acceptance
  d. Rehabilitation

[ndhahbi]

Answer to Question 1

C
The nurse must use critical thinking skills in this situation to adapt positioning technique. In practice, patient procedures are not always presented as in a textbook, but they are individualized. A urologist consult is not warranted for position, but perhaps instead for difficulty in insertion. Postponing insertion of the catheter is not an appropriate action.

Answer to Question 2

B
As the patient and family recognize the reality of a change, they become anxious and may withdraw, refusing to discuss it. This is an adaptive coping mechanism that assists the patient in making the adjustment. Initially, the patient may be shocked by the change. This is followed by withdrawal, acknowledgment when they accept the loss, and rehabilitation when the patient is ready to learn how to adapt.

[shenderson6]

TY

[ndhahbi]

You're welcome