A nurse is caring for a client who is 6 hr postoperative following abdominal surgery and is having difficulty voiding. Which of the following actions should the nurse take?
Allow the client to hear running water while attempting to void.
Provide the client a bedpan while lying supine.
Encourage fluid intake up to 1,000 mL daily.
Insert an indwelling urinary catheter and connect it to gravity drainage.
The Correct Answer is C
A. While this technique can sometimes be helpful, it's not the first-line intervention for postoperative urinary retention. Encouraging fluids is a more fundamental step.
B. Lying supine may make it more difficult for the client to void. Sitting upright or ambulating to the bathroom may be more effective.
C. Encouraging fluids helps maintain adequate urine output, which is essential for preventing urinary retention after surgery. Dehydration can worsen the difficulty voiding.
D. Catheterization should be considered only after other interventions to promote voiding have been attempted and failed, as it carries the risk of infection and discomfort.
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Related Questions
Correct Answer is ["A","B","D"]
Explanation
A. The nurse's signature confirms that the client signed the informed consent document in the nurse's presence, verifying that the client provided consent voluntarily.
B. The nurse's signature confirms that the client has legal capacity and authority to provide consent for the proposed treatment or procedure.
C. The nurse's signature does not confirm the absence of a mental health condition; rather, it confirms that the client has provided informed consent.
D. The nurse's signature confirms that the client provided consent voluntarily and was not coerced or unduly influenced to do so.
E. While it is important for the client to understand the information provided, the nurse's signature does not specifically confirm this requirement.
Correct Answer is ["A","C","D"]
Explanation
A. This abbreviation can be misinterpreted as "units," "cc," or "you." It is recommended to avoid its use to prevent misinterpretation.
B. This abbreviation stands for intake and output, which is commonly used in healthcare documentation and is not on The Joint Commission's Do Not Use list.
C. IU can be mistaken for intravenous or international unit.
D. This abbreviation stands for once daily and is prone to misinterpretation, as it can be mistaken for qid (four times daily). It is recommended to avoid its use to prevent dosing errors.
E. This abbreviation stands for pro re nata, indicating "as needed" medication administration, and is not on The Joint Commission's Do Not Use list.
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