A nurse is implementing a bladder-training program for a patient.
Which of the following actions by the assistive personnel (AP) assisting with the patient’s care should the nurse intervene?
The AP assists the patient to the bathroom every 2 hours.
The AP offers the patient the opportunity to urinate 15 minutes before bathing.
The AP instructs the patient to urinate whenever they feel the urge.
The Correct Answer is A
The correct answer is choice A.
Choice A rationale: Assisting the patient to the bathroom every 2 hours is a fixed schedule that doesn't allow for individual variations in bladder function. A bladder-training program should encourage the patient to recognize and respond to their own urge to urinate, promoting self-reliance and bladder control.
Choice B rationale: Offering the opportunity to urinate before bathing is a good practice to prevent accidents and promote comfort. It also helps to reduce the risk of urinary tract infections.
Choice C rationale: Encouraging the patient to urinate when they feel the urge is a key component of bladder training. It helps the patient to develop bladder control and reduce the frequency of accidents.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Muscle twitching is a symptom of oxygen toxicity. Oxygen toxicity is a condition resulting from the harmful effects of breathing molecular oxygen (O2) at increased partial pressures. Severe cases can result in cell damage and death, with effects most often seen in the central nervous system, lungs, and eyes. Central nervous system symptoms can include muscle twitching.
Choice B rationale:
Redness of the face is not typically associated with oxygen toxicity. Oxygen toxicity primarily affects the central nervous system, lungs, and eyes. It does not typically cause redness of the face.
Choice C rationale:
Swelling around the eyes is not a common symptom of oxygen toxicity. The primary effects of oxygen toxicity are seen in the central nervous system, lungs, and eyes. However, this does not typically manifest as swelling around the eyes.
Choice D rationale:
A metallic taste in the mouth is not a known symptom of oxygen toxicity. Oxygen toxicity is a condition that results from the harmful effects of breathing molecular oxygen (O2) at increased partial pressures. It primarily affects the central nervous system, lungs, and eyes, but a metallic taste in the mouth is not a recognized symptom.
Correct Answer is C
Explanation
Choice A rationale:
Dry skin is not typically associated with respiratory alkalosis. Respiratory alkalosis occurs when the levels of carbon dioxide and oxygen in the blood aren’t balanced. It occurs when you breathe too fast or too deep and carbon dioxide levels drop too low. This condition does not directly cause dry skin.
Choice B rationale:
Abdominal pain is not a common symptom of respiratory alkalosis. The condition is usually caused by over-breathing (called hyperventilation) that occurs when you breathe very deeply or rapidly. While it can cause discomfort, it does not typically result in abdominal pain.
Choice C rationale:
Diarrhea is not a direct symptom of respiratory alkalosis. However, the stress or anxiety that can cause hyperventilation and lead to respiratory alkalosis might also upset the digestive system and cause diarrhea. It’s important to note that while stress and anxiety can cause both conditions, they are not a direct result of the respiratory alkalosis itself.
Choice D rationale:
Flank pain is not a symptom of respiratory alkalosis. Flank pain is often associated with kidney problems, not respiratory conditions. Respiratory alkalosis is characterized by symptoms such as dizziness, bloating, feeling light-headed, numbness or muscle spasms in the hands and feet, discomfort in the chest area, confusion, dry mouth, tingling in the arms, heart palpitations, and feeling short of breath.
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