A nurse caring for a client with a new spinal cord injury notices that the indwelling urinary catheter has stopped flowing. What is the nurses best first action?

Notify the physician

Check the tubing

Remove the indwelling catheter

Replace the indwelling catheter

Answer and Explanation

The Correct Answer is B

Choice A Rationale: Notifying the physician may be necessary if troubleshooting the issue does not resolve the problem, but it is not the initial step.

Choice B Rationale: The nurse should first check the tubing of the indwelling urinary catheter for any kinks, twists, or obstructions that might prevent the urine flow. This is a simple and non-invasive intervention that can resolve the problem quickly and easily.

Choice C Rationale: Removing the indwelling catheter is not advisable without proper assessment and intervention, as it can lead to complications.

Choice D Rationale: Replacing the indwelling catheter is not the first step and should only be done if the problem cannot be resolved through assessment and interventions.

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Correct Answer is A

Explanation

Choice A Rationale: Sitting the client at a 90-degree angle (upright position) helps prevent orthostatic hypotension and cardiovascular complications in clients with spinal cord injuries by improving venous return and cardiac output.

Choice B Rationale: Administering 2000 liters of fluid is an inappropriate intervention, and the volume mentioned is excessive.

Choice C Rationale: Applying compression socks may help prevent deep vein thrombosis (DVT) but does not address cardiovascular complications related to sitting position.

Choice D Rationale: Maintaining blood pressure exactly at 110/80 is not a feasible or appropriate intervention.

A. Lentils B. Asparagus C. Oatmeal D. Cabbage

Correct Answer is A

Explanation

Choice A Rationale: Lentils have one of the highest fiber contents per cup compared to the other options listed, making them a good choice to help alleviate constipation.

Choice B Rationale: Asparagus is a source of fiber but typically has lower fiber content per cup compared to lentils.

Choice CRationale: Oatmeal is known for its fiber content, but its fiber content per cup is typically lower than that of lentils.

Choice DRationale: Cabbage is a source of fiber, but its fiber content per cup is usually lower than that of lentils.

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A nurse caring for a client with a new spinal cord injury notices that the indwelling urinary catheter has stopped flowing. What is the nurses best first action?

Nursing Test Bank

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A nurse caring for a client with a new spinal cord injury notices that the indwelling urinary catheter has stopped flowing. What is the nurses best first action?