A Client Is Hospitalized with Urinary Retention,has an Indwelling Catheter,and

question 20

Multiple Choice

A client is hospitalized with urinary retention,has an indwelling catheter,and is getting IV fluids.Which intervention does the nurse add to the care plan to address the priority problem for this client?

• A) Perform catheter care per policy every shift.
• B) Encourage fluid intake to 1 liter/day.
• C) Apply a moisture barrier cream daily.
• D) Document accurate intake and output (I&O) each shift.

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Definitions:

Physiological Measures

The quantification of biological responses, such as heart rate, skin conductance, and brain activity, which are used to assess physical and emotional states.

Sleepers

Individuals who, after being exposed to a persuasive message, increase their acceptance of the message over time, even if they initially resisted it.

Defense Mechanisms

Mental mechanisms activated without awareness to defend against anxiety triggered by thoughts or feelings judged as inappropriate.

Individual Differences

Variations among individuals in qualities or attributes, including personality, intelligence, interests, and behaviors.