NURSING 204 : Multidimensional Care 3

A nurse cares for a patient with urinary incontinence. The patient states, “I am so embarrassed. My bladder leaks like a young child’s bladder.” How would the nurse respond? Selected Answer: d. “I can teach you strategies to help control your incontinence.” Answers: a. “I understand how you feel. I would be mortified.” b. “More people experience incontinence than you might think.” c. “Incontinence pads will minimize leaks in public.” Response Feedback: • Question 2 d. “I can teach you strategies to help control your incontinence.” The nurse should accept and acknowledge the patient’s concerns, and assist the patient to learn techniques that will allow control of urinary incontinence. The nurse should not diminish the patient’s concerns with the use of pads or stating statistics about the occurrence of incontinence. 0 out of 1 points A nurse provides phone triage to a pregnant patient. The patient states, “I am experiencing a burning pain when I urinate.” How would the nurse respond? Selected Answer: c. “This means labor will start soon. Prepare to go to the hospital.” Answers: a. “You probably have a urinary tract infection. Drink more cranberry juice.” b. “Your pelvic wall is weakening. Pelvic muscle exercises should help.” c. “This means labor will start soon. Prepare to go to the hospital.” NURSING 204 : Multidimensional Care 3 Response Feedback: • Question 3 d. “Make an appointment with your provider to have your infection treated.” Pregnant patients with a urinary tract infection require prompt and aggressive treatment because cystitis can lead to acute pyelonephritis during pregnancy. The nurse should encourage the patient to make an appointment and have the infection treated. Burning pain when urinating does not indicate the start of labor or weakening of pelvic muscles. 0 out of 1 points A nurse cares for a patient who has pyelonephritis. The patient states, “I am embarrassed to talk about my symptoms.” How would the nurse respond? Selected Answer: c. “You seem anxious. Would you like a nurse of the same gender to care for you?” Answers: a. “Take your time. It is okay to use words that are familiar to you.” b. “I understand. Elimination is a private topic and shouldn’t be discussed.” c. “You seem anxious. Would you like a nurse of the same gender to care for you?” d. “I am a professional. Your symptoms will be kept in confidence.” Response Feedback: • Question 4 Patients may be uncomfortable discussing issues related to elimination and the genitourinary area. The nurse would encourage the patient to use language that is familiar to the patient. The nurse would not make promises that cannot be kept, like keeping the patient’s symptoms confidential. The nurse must assess the patient and cannot take the time to stop the discussion or find another nurse to complete the assessment