You are a nurse in a medical–surgical unit in a hospital caring for a 27-year-old professional football player who underwent surgery to repair a compound fracture of his femur. The surgery went smoothly and you are responsible for his care on postoperative day 2. He has not had a bowel movement since prior to surgery.
Indicate risk factors that could affect bowel elimination for this client.
What would you include in your focused assessment for this client?
Outline signs and symptoms that might indicate the client is constipated.
If the client is deemed to be constipated, what interventions do you anticipate?
What information would you include in your client teaching?
You are a nurse in a long-term care facility. You are caring for an 83-year-old female who was admitted for rehabilitation after being hospitalized for pneumonia. She has a history of arthritis and is experiencing a decreased ability to perform activities of daily living (ADLs). Shortly after admission to the facility, she began experiencing difficulty with urinary incontinence.
Indicate risk factors that could affect urinary elimination for this client.
What would you include in your focused assessment for this client?
Outline interventions that could be implemented to promote normal urination.
The healthcare provider orders a urinalysis. The client believes she can provide a urine sample. What will your instructions be to the client, to obtain a clean-catch or midstream specimen.
List possible interventions that would be appropriate for this client’s urinary incontinence.
