Nokea
A frail elderly patient with a hip fracture has to void before surgery. Which of the following is the best way to handle this?
- A. Have the patient use a fracture pan.
- B. Have the patient use a regular bedpan.
- C. Help the patient use the bedside commode.
- D. Catheterize the patient.
Correct Answer: A
Rationale: A fracture pan is designed for patients with mobility limitations, such as a hip fracture, to facilitate voiding with minimal movement.
You may also like to solve these questions
Stress incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: E
Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.
You gather the following assessment data: bladder is distended, patient is complaining of lower abdominal discomfort, urinary output has totaled 150 mL in 6 hours after the catheter was discontinued, and the patient is voiding frequently in very small amounts. You decide to notify the physician. What order will you expect to receive?
- A. Order for catheterization
- B. Order for antibiotics
- C. Order for increased IV fluids
- D. Order for a diuretic
Correct Answer: A
Rationale: The symptoms and low output suggest urinary retention, likely requiring catheterization to relieve the distended bladder.
In catheters, the greater the size number, the larger the catheter.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Catheter size is measured in French (Fr) units, where a higher number indicates a larger diameter.
Spermicides can increase the risk for urinary tract infections in women.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Spermicides can disrupt vaginal flora, increasing UTI risk.
Which emotional response do you think most people will experience when they need to ask for assistance with urinating?
- A. Fear related to a possible 'accident'
- B. Anger related to diminished sense of self-control
- C. Shame/embarrassment related to loss of autonomy
- D. Loss of self-esteem related to inability to care for self independently
Correct Answer: C
Rationale: Needing assistance with urination often causes shame or embarrassment due to the loss of privacy and autonomy.