The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?

Offer Incontinence briefs to be worn while sleeping

Provide clothing that is easy to put on and take off

Explain the need to call the nurse using the call bell for help with toileting

Ask the client if he needs to urinate at least every two hours

Answer and Explanation

The Correct Answer is B

A. Incontinence briefs are appropriate for overnight use but do not encourage independence in bladder management during the day.

B. Providing easy-to-remove clothing is a practical intervention that enhances the client's independence in managing toileting, especially if they have cognitive impairments. It ensures that the client can quickly respond to the urge to urinate.

C. Explaining the use of a call bell is helpful but may not be the most appropriate approach for a cognitively-impaired client who may forget or struggle with communication.

D. Asking the client every two hours if they need to urinate is helpful but may not be as effective as providing easy access to clothing for quick toileting.

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Correct Answer is ["A","D","E"]

Explanation

A. Prolonged immobility can lead to skin breakdown due to pressure and reduced circulation.

B. Circulation typically worsens with immobility, not improves.

C. Immobility usually decreases gastric motility, not increases it.

D. Disuse atrophy occurs as muscles weaken from lack of use.

E. Loss of appetite can occur due to reduced activity and metabolic rate.

A. Effects of recreational drug use B. Use of seatbelts C. Osteoporosis screening D. Use of helmets E. Fall prevention

Correct Answer is ["B","C","D","E"]

Explanation

A. Recreational drug use does not directly relate to fracture prevention and is less relevant for a fracture risk reduction program.

B. The use of seatbelts helps reduce the risk of fractures during vehicle accidents, a common cause of trauma.

C. Osteoporosis screening is important for identifying individuals at higher risk for fractures due to bone weakness.

D. Helmets protect against head injuries, which can result in fractures, particularly in activities like biking or skating.

E. Fall prevention strategies are crucial in reducing fracture risk, especially in older adults or those with osteoporosis.

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The nurse is attempting to assist a cognitively-impaired adult to maintain bladder continence. Which intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a client who has remained in skeletal traction for an extended period of time. The nurse is assessing for signs/symptoms of complications of immobility. Included would be: (SELECT ALL THAT APPLY)

Correct Answer is ["A","D","E"]

Explanation

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Correct Answer is ["B","C","D","E"]

Explanation

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