A patient admitted to your floor for abdominal pain and constipation is experiencing seepage or leaking of liquid stool, what is this an indication of?

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).

a) Kinking the catheter tubing to obtain a urine specimen: Kinking the catheter tubing can cause backflow of urine, increasing the risk of infection, but it is not as significant a risk factor as improper drainage bag positioning.

b) Emptying the drainage bag every 8 hours or when half full: Properly emptying the drainage bag regularly reduces the risk of infection, as it prevents overfilling and backflow. This practice is usually part of proper care.

c) Failing to secure the catheter tubing to the patient's thigh: Securing the tubing to the thigh is important for preventing pulling or tension, but it’s not as significant in terms of infection risk as the positioning of the drainage bag.

d) Placing the drainage bag on the side rail of the patient's bed: This significantly increases the risk of urinary tract infections (UTIs) as it can cause the urine to flow back into the bladder, a condition called "reflux." The drainage bag should always be kept below the level of the bladder.