A client who is on complete bedrest frequently calls the nurse for the bedpan to urinate.
Which action should the nurse take to evaluate the client for urinary retention?
Review the chart for number of voids over the last 24 hours.
Evaluate the client for urinary incontinence.
Scan the client's bladder after voiding.
Palpate the suprapubic region for distention.
The Correct Answer is C
This will help determine if there is any residual urine left in the bladder after voiding.
Choice A is not the answer because reviewing the chart for the number of voids over the last 24 hours is important but not sufficient to evaluate for urinary retention.
Choice B is not the answer because evaluating for urinary incontinence is important but not sufficient to evaluate for urinary retention.
Choice D is not the answer because while palpating the suprapubic region for distention can provide some information, scanning the bladder after voiding is a more accurate way to evaluate for urinary retention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
- The descriptions that warrant additional follow-up by the nurse are choices A, D, and E.
- Solid with red streaks may indicate blood in the stool1.
- A tarry appearance may indicate bleeding in the upper digestive tract1.
- Multiple hard pellets may indicate constipation1.
Choice B is not an answer because brown liquid stool is not necessarily a cause for concern.
Choice C is not an answer because formed but soft stool is considered normal.
Correct Answer is A
Explanation
The goal of the care plan should be to help the client overcome his activity intolerance related to pain.
This can be achieved by helping him to ambulate without discomfort.
Choice B is not the answer because taking analgesics as prescribed may help manage the pain but does not address the problem of activity intolerance.
Choice C is not the answer because showing evidence of incision healing is important but does not address the problem of activity intolerance.
Choice D is not the answer because avoiding pain-causing activity may help manage the pain but does not address the problem of activity intolerance.
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