Mr. Ellis states that prior to his stroke, he would get up five or six times during the night to empty his bladder but that he was able to control the
... [Show More] urge long enough to make it to the bathroom. How should the nurse describe the urinary pattern that Mr. Ellis is describing? - ANSWER Nocturia
Since Mr. Ellis now voids spontaneously without recognizing the need to void, how should the nurse document his current urinary pattern in the medical chart? - ANSWER Incontinence
To help manage Mr. Ellis' incontinence, the nurse initiates a bladder training program. Which instruction should the nurse provide to the unlicensed assistive personnel (UAP) who will be helping care for Mr. Ellis? - ANSWER Remind the client to void every 2 hours while awake and to call for assistance to the bathroom.
After several weeks, the bladder training program is unsuccessful in stopping Mr. Ellis' incontinence. Mr. Ellis appears withdrawn and states that he is frustrated at the number of episodes that he is having.Which nursing diagnoses are appropriate for Mr. Ellis? - ANSWER - Risk for impaired skin integrity related to urinary incontinence.
- Ineffective coping related to inability to control urine leakage.
Following an episode of incontinence, the nurse washes the client's perineal area with mild soap and water and applies a water-repellent ointment to the skin. Mr. Ellis' wife is present and the nurse uses this opportunity to educate her about proper skin care to prevent breakdown.Which of the following statements made by Mrs. Ellis indicates that teaching has been effective? - ANSWER "Washing the area with mild soap and water followed by ointment can help to protect my husband's skin."
The nursing staff continues with the bladder-training program, but Mr. Ellis' incontinence shows little improvement. Since the bladder training has not been successful, the nurse obtains a prescription to apply a condom catheter. Mr. Ellis is able to ambulate with assistance.In what order should the prescribed condom catheter be applied to Mr. Ellis? (Arrange the options in the order they should be performed with the first action on top and the last action on the bottom.) - ANSWER - clean and dry penis
-apply skin cream
-wrap adhesive spiral
-place the rolled condom
-attach a large leg drainage bag
Mr. Ellis is admitted to the acute care facility for minor surgery. His preoperative prescriptions include the insertion of an indwelling urinary catheter. A student nurse is assigned to care for Mr. Ellis. The nursing instructor asks the student nurse to prepare [Show Less]