A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?
Determine the client's pattern for voiding
Discourage intake of carbonated beverages.
Assist the client with relaxation techniques.
Offer toileting opportunities every 1 to 2 hr.
The Correct Answer is A
Explanation: The first step in bladder training is to assess the client's baseline bladder function and identify factors that may affect it, such as fluid intake, medications, or mobility issues. The other interventions are part of bladder training but should be implemented after assessment.
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Related Questions
Correct Answer is A
Explanation
To calculate the percentage of weight loss, we can use the formula:
Percentage of weight loss = (Weight loss / Original weight) * 100
Given that the client lost 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb), we can substitute these values into the formula:
Percentage of weight loss = (6.8 kg / 90.7 kg) * 100 Percentage of weight loss = 0.0749 * 100 Percentage of weight loss = 7.49%
The percentage of weight loss is approximately 7.49%.
Since none of the provided answer options exactly match this calculated percentage, the closest option is:
So, the nurse should identify the weight loss as approximately 7.5%.
Correct Answer is C
Explanation
The correct answer is C. Open the outermost flap of the sterile kit away from the nurse's body.
Rationale: The nurse should open the outermost flap of the sterile kit away from their body first, as this will prevent contamination of their clothing or hands by touching any part of
the inside surface or contents of the kit. The nurse should then open each side flap by grasping only its outer edge and pulling it toward them. The nurse should then open the flap nearest to them by grasping only its outer edge and pulling it toward them. The nurse should then apply sterile gloves before touching any part of the inside surface or contents of the kit.
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