The nurse is caring for a patient with a spinal cord injury who has a flaccid or atonic bladder. The nurse would provide discharge education to the patient and family regarding which bladder management technique?
Scheduled voiding
Intermittent catheterization
Indwelling urinary catheter
External catheter
The Correct Answer is B
A. Scheduled voiding is less effective in patients with a flaccid bladder because there is no voluntary control of bladder function.
B. Intermittent catheterization is the preferred management technique for a flaccid or atonic bladder, allowing the bladder to empty at regular intervals and reducing the risk of infection associated with continuous catheters.
C. An indwelling catheter is usually avoided for long-term use due to a higher risk of infection.
D. An external catheter is generally not effective for flaccid or atonic bladder management in spinal cord injuries as it doesn’t actively empty the bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. The low blood pressure (90/64) may indicate hypovolemia or shock but is not specific for ICP concerns.
B. This set of vital signs is concerning due to the extremely high blood pressure (220/46) combined with a very low heart rate (30) and low respiratory rate (6), which can indicate an autonomic response to increased ICP, potentially leading to Cushing's triad (hypertension, bradycardia, and irregular respirations).
C. Although the blood pressure is high (200/94), the heart rate is normal and the respiratory rate is stable, making this less alarming compared to option B.
D. The elevated temperature and abnormal heart rate (132) indicate potential fever and tachycardia, but the blood pressure (82/50) is low and does not directly indicate increased ICP.
Correct Answer is A
Explanation
A. Metoprolol, a beta-blocker, decreases the heart rate and reduces myocardial oxygen demand by lowering the workload on the heart, which is beneficial for managing unstable angina.
B. While metoprolol has some vasodilatory effects, its primary action is to reduce heart workload, not to dilate coronary arteries.
C. Although beta-blockers can reduce the risk of arrhythmias, the main purpose in angina management is to decrease cardiac workload.
D. Metoprolol does not make the heart beat more forcefully; instead, it decreases the force of contraction to reduce myocardial oxygen consumption.
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