A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching?

"You will have a leg bag to collect the urine."

"You will feel pressure when I inflate the catheter balloon."

"You cannot drink fluids for 4 hours after the procedure."

"You will need to urinate before the procedure."

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Choice B Reason:

Inflating a catheter balloon is typically not part of intermittent catheterization, as it is more commonly associated with indwelling catheters.

Choice C Reason:

There is no need for the client to restrict fluid intake before or after intermittent catheterization. In fact, adequate hydration is generally encouraged.

Choice D Reason:

Intermittent catheterization involves inserting a catheter into the bladder to empty it completely, typically to measure residual urine. Before performing intermittent catheterization, it's essential for the client to try to urinate naturally to ensure that the bladder is as empty as possible. This step helps to provide accurate measurements of residual urine and reduces the risk of complications. Therefore, the nurse should include this information in the teaching to ensure the client understands the procedure's proper preparation. While the use of a leg bag to collect urine may be part of the overall management plan, it is not specific to the teaching about preparing for intermittent catheterization.

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Correct Answer is C

Explanation

Choice A Reason:

An occupational therapist focuses on helping clients develop or regain skills needed for daily living and working, but transportation coordination is typically not within their primary scope.

Choice B Reason:

Physical therapist is incorrect. While physical therapists play a crucial role in rehabilitation and mobility, their primary focus is on improving physical function, strength, and mobility. They do not typically assess or address driving-related concerns.

Choice C Reason:

A social worker can assist the client in arranging transportation to follow-up appointments. They can connect the client with community resources, transportation services, or support systems that can help with these needs.

Choice D Reason:

Primary care provider is incorrect. While a primary care provider can discuss general health concerns, they may not have the expertise or resources to assess and address specific driving-related issues or provide driving rehabilitation.

A. "The client fell because the assistive personnel did not place nonskid slippers on the client." B. "An incident report has been completed and sent to risk management." C. "Client stated, "I lost my balance and fell when I got out of bed to go to the bathroom"." D. "The client does not appear to have any injuries resulting from the fall."

Correct Answer is C

Explanation

Choice A Reason:

Blaming the assistive personnel without additional information or evidence may not be appropriate and should be investigated further.

Choice B Reason:

Mentioning that an incident report has been completed and sent to risk management is important for institutional record-keeping and follow-up but does not provide details about the incident itself.

Choice C Reason:

"Client stated, 'I lost my balance and fell when I got out of bed to go to the bathroom'." In the documentation of a client fall, it is important to include the client's own account of the incident, as this can provide valuable information about the circumstances surrounding the fall. Including direct quotes or statements from the client helps to accurately capture their perspective and can be useful for assessing the root causes of the fall and developing appropriate interventions to prevent future falls.

Choice D Reason:

Documenting that the client does not appear to have any injuries is relevant but does not provide information about the circumstances of the fall, which is important for a comprehensive understanding of the event.

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A nurse is reinforcing teaching with a client about intermittent catheterization to measure residual urine. Which of the following information should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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