Download Case Study Bob Cla rk is a 70-year old client who had a total hip

Case Study
Bob Cla rk is a 70-year old client who ha d a total hip replacement today:
he is now on the orthopedic unit in stable cond ition. M r. Cla rk ha d ·
been having pa in in h is h ip for the ·past 6 mont h s and took NSAI Ds for
pain. He has a history of hypertension that is treated wit h a
combination a ntihypertensive diu retic drug. He also takes a
m ultivitamin daily. in daily. He has been using a walker for the last 2
mont hs to help him ambulate. M r. Cla rk a lso has presbycusis, an age
related hearing loss. M r. Cla rk has an ord er for morphine 2 mg IV q4h prn.
He had a dose 30 minutes ago. Jared Carr is a student nurse who has
been assigned to M r. Cla rk. Jared assesses M r. Clark a nd finds that h is
pa i n is now rated a 3 on a sca le of 1to 10. He has a n IV r unning at 100
m l/h r. Ja red asks M r. Clark if he has urinated since he ret u rned from
surgery, a nd M r. Clark tells him that he has not. Jared asks him if he
feels the need to urinate. M r. Clark tells Jared that he does not.
Case Stud y Questions
1. Before asking Mr. Clark questions what would be important for
Jared to do?
Answer:
2. What assessment should Jared do to determine whether Mr.
Clark has a full bladder?
Answer:
3. Jared finds that Mr. Clark does have a distended bladder and
wants to help Mr. Clark urinate. What interventions would be
helpful? Select all that apply.
A. Provide privacy.
B. Provide adequate fluid intake.
C. Provide access to a urinal and assist as needed.
D. Turn on the water.
4. Mr. Clark is still unable to urinate 8 hours after surgery. Jared
is now to catheterize Mr. Clark with a straight catheter. What
is the most important principle for Jared to apply to the
procedure?
Answer:
5. Once Jared has finished with the catheterization procedure, he
tells Mr. Clark to report any signs that may indicate a urinary
tract infection (UTI). What signs should Jared tell Mr. Clark to
report: Select all that apply.
A. Frequency of urination
B. Burning upon urination
C. Cloudy urine
D. Odor to urine
E. Blood in urine