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 {"dropdown-group-1":"D"}
Explanation
The nurse should prepare to administer naloxone and oxygen 10 L/min via face mask. Naloxone is a medicine that can reverse the effects of opioid drugs like fentanyl, which may have caused respiratory depression in the client.
Oxygen can help improve the client's oxygen saturation, which has dropped below 90%.
The nurse should avoid giving acetaminophen, which is not indicated for this situation, or additional doses of propofol or fentanyl, which may worsen the client's condition.
Correct Answer is D
Explanation
The correct answer is D. The parent should apply pressure with gauze if they see bleeding from the circumcision site, as this can indicate a complication such as infection or dislodgement of the plastic ring. The other statements are incorrect because they can interfere with the healing process or cause harm to the infant. Applying antibiotic ointment can cause irritation or allergic reaction, applying a snug diaper can increase pressure and friction on the penis, and wiping away yellow crusts can remove healthy tissue or cause bleeding .
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