A nurse is discussing expected changes associated with aging with an older adult client. Which of the following client statements should indicate to the nurse that the client has an impaired body image?

A. Stroking the lower abdomen: While this may sometimes stimulate the bladder, it is not the most effective technique for promoting urination. Techniques such as using warm water are more commonly recommended for stimulating urination.

B. Pouring warm water over the perineum: Pouring warm water over the perineum can help relax the pelvic muscles and stimulate the urge to urinate. This method is often used to assist with the initiation of urination, especially after catheter removal.

C. Performing Kegel exercises prior to urination: Kegel exercises strengthen the pelvic floor muscles and can improve urinary control over time, but they are not effective for immediately stimulating urination, especially in the postoperative period.

D. Leaning backward when sitting and attempting to urinate: Leaning backward may make it more difficult to urinate as it puts pressure on the bladder. The best position for urination is sitting upright with the feet flat on the floor, which allows relaxation of the pelvic muscles.

A. Notify the housekeeping department: Housekeeping is not the appropriate department to address a malfunctioning infusion pump. The nurse should take immediate action to address the malfunction, such as replacing the pump.

B. Replace the infusion pump: If the infusion pump is malfunctioning, the nurse should replace it with a functional one to ensure that the client's infusion continues safely. This is the most appropriate and immediate action to take in response to a malfunction.

C. Check the expiration date on the safety inspection sticker: While it is important to ensure equipment is regularly inspected, checking the expiration date on the safety inspection sticker does not address an immediate malfunction. The priority should be replacing the pump to prevent disruption of the IV infusion.

D. Plug the infusion pump into a grounded outlet: While ensuring that the pump is plugged into a grounded outlet is important for electrical safety, this does not directly resolve the issue if the pump itself is malfunctioning.