Question: solve Nurses Notes Day 1 0800: Client admitted last evening with indwelling urinary catheter in place secondary to urinary retention. Upon entering the room, client
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Nurses Notes Day 1 0800: Client admitted last evening with indwelling urinary catheter in place secondary to urinary retention. Upon entering the room, client found attempting to get out of bed, stating \"| need to feed the cat.\" Client also grabbing at lower back yelling \"it hurts. It hurts to use the bathroom." Appears confused. Lungs clear to auscultation. SI, S2 present. Bowel sounds present, normal x 4 quadrants. Indwelling catheter draining cloudy yellow urine. Temp 100.1 F/37.8 C, P 96, RR 16, BP 122/68 Select the orders the nurse anticipates, including the plan of care. Select all that apply. _) a. Monitor intake and output every shift. _) b. Discontinue current catheter. Straight (intermittent) cath every 6 hours as needed. _] c. Flush catheter, disconnect current bag, change to a new drainage bag d. Encourage oral fluids, 2 to 3 liters per day. _] e. Keep urinary catheter at bladder levelStep by Step Solution
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