A client is learning how to maintain optimum bladder function. Which of the following strategies identifies the method of pressing on the bladder while seated on the toilet?

Correct Answer: D

Rationale: The correct answer is D) Crede's maneuver. Crede's maneuver involves pressing on the bladder to assist with urine elimination. This technique is commonly used by individuals with certain medical conditions to aid in bladder emptying. It is important to note that this maneuver should only be performed under the guidance of a healthcare professional to prevent any potential complications. Option A) Valsalva maneuver is a technique where a person holds their breath and strains, usually to help with bowel movements or during certain physical activities. This maneuver is not related to pressing on the bladder for optimal bladder function. Option B) Kegel maneuver involves contracting and relaxing the pelvic floor muscles to improve bladder control and prevent urinary incontinence. While this technique is beneficial for strengthening the pelvic floor, it is not the method of pressing on the bladder as described in the question. Option C) Pelvic floor maneuver is a broad term that encompasses various exercises and techniques to strengthen the pelvic floor muscles. While pelvic floor exercises are essential for bladder health, they do not specifically involve pressing on the bladder as described in the question. In an educational context, understanding the correct techniques for maintaining bladder function is crucial for individuals with bladder issues or undergoing rehabilitation. Proper knowledge of techniques like Crede's maneuver can help individuals manage their bladder function effectively and prevent complications. It is essential to educate clients on safe and appropriate methods to support their bladder health and overall well-being.

Correct Answer: C

Rationale: In this scenario, assigning the 50-year-old client who has orders to ambulate in the hallway 2 days after having an abdominal hysterectomy to the nursing assistant is the most appropriate choice. This decision is based on the client's need for ambulation assistance, which aligns with the nursing assistant's scope of practice and skill set. The other options are less suitable for assignment to the nursing assistant for various reasons: A) The 34-year-old client with epididymitis and an elevated temperature requires assessment, which may involve more complex care and assessment skills beyond the nursing assistant's role. B) The 43-year-old client needing discharge teaching after ovarian cancer surgery requires specialized knowledge and communication skills that are typically within the nurse's domain. D) The 79-year-old client receiving continuous bladder irrigation post-prostate surgery involves a procedure that necessitates close monitoring and potential intervention by a nurse due to the risk of complications. In an educational context, understanding the scope of practice of different healthcare team members is crucial for effective delegation and patient care. Nursing assistants play a vital role in providing basic care and support to patients, while nurses are responsible for more complex assessments, interventions, and patient education. Proper delegation ensures that each team member works within their expertise, optimizing patient outcomes and promoting efficient healthcare delivery.

Correct Answer: B

Rationale: The correct answer is B) Because the hymen can be perforated during physical activity, insertion of a tampon, or pelvic examination. This is because the hymen, a thin membrane located at the entrance of the vagina, can be broken or stretched by various activities other than sexual intercourse. Option A is incorrect because the hymen can indeed be affected by sexual activity, but it is not the only factor that can cause its rupture. Option C is also incorrect as the hymen is not ruptured by urination. Option D is incorrect because while strenuous physical activity can potentially cause the hymen to rupture, it is not the only way. In an educational context, it is crucial to understand that the presence or absence of an intact hymen is not a reliable indicator of virginity. Teaching this concept helps dispel myths and misconceptions surrounding virginity and the hymen, promoting a more comprehensive understanding of human anatomy and sexuality. Students should be encouraged to approach topics like these with sensitivity, respect, and accuracy.

Correct Answer: A

Rationale: In the context of a vaginal hysterectomy versus an abdominal hysterectomy, the correct answer is A) Fewer complications. This is because a vaginal hysterectomy is associated with a lower risk of complications compared to an abdominal approach. The rationale behind this is that a vaginal hysterectomy is a less invasive procedure that does not require a large abdominal incision. This results in a reduced risk of infection, blood loss, and postoperative pain. Additionally, the recovery time for a vaginal hysterectomy is typically shorter than for an abdominal hysterectomy. Option B) Increased recovery time is incorrect because, as mentioned earlier, a vaginal hysterectomy actually has a shorter recovery time compared to an abdominal hysterectomy. Option C) Radical hysterectomy can even be done laparoscopically is incorrect because the question specifically compares vaginal and abdominal hysterectomies, not laparoscopic approaches. Option D) No pain is incorrect because any surgical procedure, including a vaginal hysterectomy, will involve some degree of pain during the recovery period. Educationally, it is important for students to understand the differences between surgical approaches in gynecology to make informed decisions regarding patient care. Knowing the advantages and disadvantages of each approach allows healthcare providers to provide the best possible care for their patients.

Correct Answer: A

Rationale: In this scenario, the correct answer is option A: "Offer the opposite breast at each feeding to their infants." This recommendation is effective in preventing or eliminating mastitis and breast abscesses for breast-feeding mothers. When a mother consistently offers the opposite breast at each feeding, both breasts are emptied regularly, reducing the risk of milk stasis and subsequent infection. Option B, "Minimize frequent nursing of the infants," is incorrect because frequent nursing actually helps in preventing mastitis by ensuring proper milk drainage from the breasts. Limiting nursing can lead to engorgement and an increased risk of infection. Option C, "Avoid breast-feeding," is also incorrect as breast-feeding provides numerous benefits for both the mother and the infant. It is not the act of breast-feeding itself that causes mastitis but rather improper drainage or milk stasis. Option D, "Avoid bathing or showering regularly," is incorrect as hygiene practices like regular bathing and showering are essential for overall health and well-being. Good hygiene can actually help prevent infections rather than cause them. Educationally, it is crucial for nurses and healthcare providers to understand the importance of proper breast-feeding techniques and management to support mothers in their breast-feeding journey. By providing accurate information and guidance, healthcare professionals can empower mothers to prevent complications like mastitis and breast abscesses, promoting maternal and infant health.