The nurse is caring for a client who is able to move Independently, but has been placed on bedrest with bathroom priviledges only due to their current treatment. The client has experienced two episodes of functional urinary incontinence. Which intervention(s) should the nurse include in the care plan? (SELECT ALL THAT APPLY)
Apply moisture barrier cream to perineal skin
Consult with the wound care nurse about use of a specialty mattress
Instruct client to shift their weight at least every 15 minutes
Keep head of bed raised at 45 degrees at all times
Massage over bony prominences every hour while awake
Correct Answer : A,B,C
A. Applying moisture barrier cream helps protect the skin from irritation and breakdown due to urinary incontinence.
B. Consulting with the wound care nurse about the use of a specialty mattress is crucial to minimize pressure ulcers.
C. Instructing the client to shift their weight at least every 15 minutes helps reduce pressure and prevent pressure ulcers.
D. Keeping the head of the bed raised at 45 degrees at all times is not necessary and may not address the underlying issue of functional urinary incontinence.
E. Massaging over bony prominences is important for preventing pressure ulcers but does not directly address urinary incontinence.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Taking a walk around the block every afternoon can promote physical activity and cardiovascular health, which is beneficial for clients with cardiopulmonary disease.
B. Avoiding places where people are smoking is important for reducing exposure to secondhand smoke, which can exacerbate cardiopulmonary symptoms.
C. Shoveling snow can be strenuous and may exacerbate cardiopulmonary symptoms, especially for individuals with severe disease.
D. Decreasing intake of snack foods can contribute to a healthier diet, which may benefit overall health and management of cardiopulmonary disease.
Correct Answer is C
Explanation
A. "ir" typically stands for intrarectal, which is not a commonly used abbreviation for suppositories.
B. "rs" does not correspond to any commonly used route of administration for suppositories.
C. "pr" typically stands for per rectum, which is the appropriate route of administration for a glycerin suppository.
D. "r" is not a standard abbreviation for suppository administration.
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