A male client who has had outpatient surgery is unable to void while lying supine. What can the nurse do to facilitate his voiding?
Assist him to a standing position.
Ask his wife to assist with the urinal.
Pour cold water over his genitalia.
Tell him he has to void to be discharged.
The Correct Answer is A
a) Assist him to a standing position: Assisting the client to a standing position can help facilitate voiding, as it takes advantage of gravity and the normal physiological positioning for urination in males.
b) Ask his wife to assist with the urinal: While support from family members is often helpful, it does not address the issue of positioning, which is key in facilitating voiding after surgery.
c) Pour cold water over his genitalia: Pouring cold water is a common technique to encourage voiding, but it may not be as effective as proper positioning.
d) Tell him he has to void to be discharged: While it’s true that clients need to void before discharge in some cases, this statement may cause anxiety and does not address the root of the issue (difficulty voiding in the supine position).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a) Neuromuscular problems may result in the client finding urinary control too much trouble, resulting in incontinence: Neuromuscular issues in older adults can affect their ability to control the bladder, leading to urinary incontinence due to weakened bladder muscles and impaired coordination of the sphincter.
b) Increased bladder muscle tone may reduce the capacity of the bladder to hold urine, resulting in frequency: Typically, aging results in decreased bladder muscle tone, not increased, leading to reduced capacity and increased frequency of urination. Increased tone would not typically cause frequency.
c) Decreased bladder contractility may lead to urine retention and stasis, which increases the likelihood of urinary tract infection: Aging can lead to decreased bladder contractility, resulting in urine retention, which can cause stasis and increase the risk of urinary tract infections (UTIs).
d) The diminished ability of the kidneys to concentrate urine may result in urinary tract infection: While diminished kidney function may cause issues like dehydration or nocturia, it is not directly related to causing UTIs. UTIs are more commonly caused by poor urine flow or retention.
Correct Answer is D
Explanation
a) Dark black visible blood: Dark, black blood is typically a sign of blood that has been digested, often due to gastrointestinal bleeding, but this is not the definition of occult blood.
b) Bright red visible blood: Bright red blood is usually a sign of recent bleeding, often from hemorrhoids or anal fissures. Occult blood refers to blood that is not visible.
c) Blood that contains mucus: Blood with mucus is not the definition of occult blood. Occult blood refers to blood that is hidden and cannot be seen without further testing.
d) Blood that cannot be seen: Occult blood refers to hidden blood that is not visible to the naked eye but can be detected through specific tests, such as a fecal occult blood test (FOBT).
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