Answer to Question 1
Correct Answer: 2
Rationale 1: A client with incontinence would wear some kind of undergarment pad. Cotton undergarments alone would not provide protection for catching the urine.
Rationale 2: Incontinence involves a small leakage of urine when a client laughs.
Rationale 3: Incontinence does not occur if a client just carries on a conversation.
Rationale 4: If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.
Answer to Question 2
Correct Answer: 3
Rationale 1: Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time.
Rationale 2: Improved continence takes 3 to 6 months, so 1 month is not a realistic goal.
Rationale 3: Performing four to five squeezes for 5 to 10 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence.
Rationale 4: Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.
A nurse adjusts the rate of a client’s IV.
To check pupillary reflexes the nurse first holds the penlight
To increase pressure using body weight, lean on your client.
(A) Unwrap each of the layers until the client is covered by just the plastic sheet and the towels ...
Measuring the client’s height with a platform scale