A nurse is contributing to the plan of care for a client who has urinary incontinence.
Which of the following interventions should the nurse include in the plan?
Keep the head of the client's bed elevated to 45".
Limit periods of sitting in a chair to 4 hr.
Use a no-rinse perineal cleanser after incontinence.
Avoid the use of draw sheets for repositioning.
The Correct Answer is C
Urinary incontinence is the involuntary loss of urine, and it can have various causes and contributing factors. When developing a plan of care for a client with urinary incontinence, it is important to address interventions that promote comfort, hygiene, and prevention of complications.
using a no-rinse perineal cleanser after incontinence, is an appropriate intervention for maintaining skin hygiene and preventing skin breakdown. Cleansing the perineal area after episodes of urinary incontinence helps to remove any urine residue and reduce the risk of skin irritation or infection. No-rinse cleansers are often preferred as they are gentle on the skin and do not require rinsing, which can be more convenient for the client.
keeping the head of the client's bed elevated to 45 degrees in (option A) is incorrect because it, is not directly related to managing urinary incontinence. This intervention is typically used for clients at risk for aspiration or to improve respiratory function.
limiting periods of sitting in a chair to 4 hours in (option B) is incorrect because it, may be beneficial to prevent prolonged pressure on the pelvic floor muscles and promote circulation. However, it does not specifically address managing urinary incontinence.
avoiding the use of draw sheets for repositioning in (option D) is incorrect because it, is not directly related to managing urinary incontinence. Draw sheets are commonly used to assist with repositioning and transferring clients.
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Related Questions
Correct Answer is B
Explanation
In Islam, it is customary to position the deceased's head toward Mecca, which is considered the holiest city in Islam. Mecca is the direction that Muslims face during prayer. Orienting the client's head toward Mecca is a sign of respect for their religious beliefs and customs.
While it is common in some cultural and religious practices for family members to stay with the deceased until burial, this may vary depending on the specific beliefs and customs of the family. It is important to respect the family's wishes and cultural practices, but it is not solely specific to Islam.
The duration of time for a family member to stay with the deceased can vary depending on cultural and religious practices, but there is no specific set duration of 8 hours in Islamic customs.
In Islam, the direction of Mecca is significant, and positioning the client's head toward Mecca is the customary practice. There is no specific requirement to position the head northward in Islamic customs.
Correct Answer is ["0.25"]
Explanation
To calculate the amount of haloperidol oral concentrate the nurse should administer, we can use
the following equation:
Volume (mL) = Dose (mg) / Concentration (mg/mL)
In this case, the dose is 0.5 mg and the concentration of the haloperidol oral concentrate is 2 mg/mL.
Volume (mL) = 0.5 mg / 2 mg/mL Volume (mL) = 0.25 mL
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