Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?
A. Determine the client's pattern for voiding
The first step in bladder training is to assess the client's baseline bladder function and identify factors that may affect it, such as fluid intake, medications, or mobility issues. The other interventions are part of bladder training but should be implemented after assessment.
B. Discourage intake of carbonated beverages.
C. Assist the client with relaxation techniques.
D. Offer toileting opportunities every 1 to 2 hr.
This question is an excerpt from Nurse Dive's nursing test bank - ATI Comprehensive Predictor 2023 Proctored Exam. Take the full exam now
Full Explanation
Explanation: The first step in bladder training is to assess the client's baseline bladder function and identify factors that may affect it, such as fluid intake, medications, or mobility issues. The other interventions are part of bladder training but should be implemented after assessment.
Similar Questions
A nurse is reinforcing discharge teaching with a client who has a prescription for antibiotictherapy. The client reports experiencing diarrhea when taking antibiotics. Which of the following foods should the nurse recommend to lessen the occurrence of diarrhea?
A. Coffee
B. Apple juice
C. Ice cream
D. Yogurt
Yogurt contains probiotics, which are beneficial bacteria that can help restore the normal flora of the gastrointestinal tract and prevent antibiotic-associated diarrhea. The other foods may worsen diarrhea by stimulating bowel motility or causing lactose intolerance.
Full Explanation
Explanation: Yogurt contains probiotics, which are beneficial bacteria that can help restore the normal flora of the gastrointestinal tract and prevent antibiotic-associated diarrhea.
The other foods may worsen diarrhea by stimulating bowel motility or causing lactose intolerance.
A nurse is caring for a client who has bulimia nervosa. Which of the following actions should the nurse take first?
A. Refer the client to a support group for clients who have eating disorders.
B. Instruct the client about effective coping strategies
C. Observe the client during and after meals.
Observe the client during and after meals. Bulimia nervosa is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The nurse should monitor the client for signs of purging, such as frequent trips to the bathroom, and provide support and supervision during and after meals to prevent this behavior . This is a priority intervention that addresses the client's physical health and safety.
D. Suggest that the client assist with meal planning
Full Explanation
The correct answer is C. Observe the client during and after meals. Bulimia nervosa is an eating disorder characterized by binge eating followed by purging or fasting, and excessive concern with body shape and weight. The nurse should monitor the client for signs of purging, such as frequent trips to the bathroom, and provide support and supervision during and after meals to prevent this behavior . This is a priority intervention that addresses the client's physical health and safety.
A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?
A. Promoting trust
Promoting trust. Trust is essential for establishing a therapeutic relationship with the client and facilitating their recovery. The nurse demonstrates trustworthiness by responding to the client's needs in a timely and respectful manner, and by providing them with a healthy meal that meets their nutritional requirements.
B. Countertransference
C. Boundary crossing
D. Veracity
Full Explanation
The correct answer is A. Promoting trust. Trust is essential for establishing a therapeutic relationship with the client and facilitating their recovery. The nurse demonstrates trustworthiness by responding to the client's needs in a timely and respectful manner, and by providing them with a healthy meal that meets their nutritional requirements.