A nurse is caring for a patient who is postoperative following a total knee arthroplasty and is using a continuous passive motion (CPM) device.
What actions should the nurse take?

Choice A rationale

Limiting physical activity until bladder continence is achieved is not typically part of a bladder training program. Physical activity can actually help improve bladder control by strengthening the pelvic floor muscles.

Choice B rationale

Instructing the client to void at scheduled times throughout the day is a key component of bladder training. This helps retrain the bladder to hold urine for longer periods and reduces episodes of incontinence.

Choice C rationale

Instructing the client to void as soon as they feel the urge is not typically part of a bladder training program. The goal of bladder training is to gradually extend the time between voids.

Choice D rationale

Encouraging the client to contract the abdominal muscles when they experience the urge to void is not typically part of a bladder training program. This could potentially lead to more leakage.

Choice A rationale

For a client with COPD who reports shortness of breath and little appetite, limiting fluid intake during meals can help to prevent early satiety and promote better food intake. Fluids can make the client feel full quickly, which can limit their intake of necessary nutrients.

Choice B rationale

Consuming three regular meals daily may not be the best approach for a client with COPD who has little appetite. Smaller, more frequent meals may be easier for the client to tolerate.

Choice C rationale

Eating lighter, low-calorie foods first is not the best advice for a client with COPD who has little appetite. The client may need high-calorie, nutrient-dense foods to meet their nutritional needs.

Choice D rationale

Eliminating dairy products is not generally recommended for clients with COPD unless they have a specific intolerance. Dairy products can be a good source of protein and other nutrients.