A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?

"Practice pelvic-floor exercises regularly."

"Wear a pair of disposable briefs at bedtime."

"Limit oral fluid intake to 1,000 milliliters per day."

"Drink 8 ounces of citrus juice per day."

Answer and Explanation

The Correct Answer is A

A) "Practice pelvic-floor exercises regularly.": This instruction is essential for bladder retraining. Pelvic-floor exercises, such as Kegel exercises, strengthen the muscles that support the bladder and can help improve control over incontinence.

B) "Wear a pair of disposable briefs at bedtime.": While using disposable briefs can provide comfort and protection, this approach does not contribute to bladder retraining. It may inadvertently allow the client to rely on them instead of focusing on improving bladder control.

C) "Limit oral fluid intake to 1,000 milliliters per day.": Limiting fluid intake is generally not recommended, as it can lead to concentrated urine and potential bladder irritation. Adequate hydration is important for overall health and can help maintain normal bladder function.

D) "Drink 8 ounces of citrus juice per day.": Citrus juices can irritate the bladder in some individuals, leading to increased urgency and frequency. It’s usually advisable to avoid such irritants during bladder retraining, making this instruction less appropriate.

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Correct Answer is D

Explanation

A. Determine the need for additional providers: While nurses can assess patient needs, determining the need for additional providers is typically a responsibility of management or command staff in a disaster situation.

B. Act as a spokesperson to provide information to the media: This role is generally assigned to a designated communications officer or public relations personnel, not a unit nurse, as media interactions require specific training and authorization.

C. Decide which clients should be transported for a higher level of care: This decision usually involves a multidisciplinary team and is not solely the responsibility of a unit nurse. It often requires input from physicians and administrative personnel.

D. Recommend to the provider a list of clients for early discharge: This is a responsibility that falls within the scope of a unit nurse's duties during a disaster. Nurses can assess their patients' conditions and recommend which patients may be stable enough for early discharge to make room for more critical cases.

A. Fasting blood glucose 100 mg/dL B. Hgb 14 g/dL C. Heart rate 58/min D. WBC count 2,900/mm3

Correct Answer is D

Explanation

A. Fasting blood glucose 100 mg/dL: This level is within the normal range and does not contraindicate the use of clozapine. Monitoring blood glucose is important due to the risk of metabolic syndrome, but a normal level is not a concern.

B. Hgb 14 g/dL: Hemoglobin levels in this range are normal and indicate adequate oxygen-carrying capacity. This finding does not contraindicate the use of clozapine.

C. Heart rate 58/min: A heart rate of 58 beats per minute is considered bradycardic but does not directly contraindicate the use of clozapine. Monitoring cardiovascular health is important, but this alone is not a reason to withhold the medication.

D. WBC count 2,900/mm³: This finding is significant because clozapine can cause agranulocytosis, a potentially life-threatening decrease in white blood cells. A WBC count below 3,000/mm³ is a contraindication for clozapine administration, as it increases the risk of infection and other complications. Therefore, this finding indicates that clozapine should not be administered.

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A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse manager on an interprofessional team is creating a disaster plan. The nurse should include in the plan that which of the following actions is the responsibility of the unit nurse during a disaster?

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