A nurse is contributing to the care plan for a client starting a bladder training program for urinary incontinence management.
What action should the nurse take?
Limit physical activity until bladder continence is achieved.
Instruct the client to void at scheduled times throughout the day.
Instruct the client to void as soon as they feel the urge.
Encourage the client to contract the abdominal muscles when they experience the urge to void.
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Step 1: Identify the order. The order is for 15,000 units of heparin.
Step 2: Identify the available medication. The available medication is heparin 10,000 units/mL.
Step 3: Calculate the dose. To find out how many mL to administer, divide the number of units ordered by the number of units per mL. So, 15,000 units ÷ 10,000 units/mL = 1.5 mL. So, the nurse should administer 1.5 mL of heparin with each dose.
Correct Answer is []
Explanation
Condition: The client is most likely experiencing B. Acute Renal Failure. This is suggested by the client’s reported anuria (absence of urine), erythema around the arteriovenous fistula (AVF) site, and the CT scan showing distention with fluid and gas in the small intestine.
Action: The nurse should take the following actions to address this condition:
- A. Administer IV fluids as prescribed: This can help manage the client’s hydration and electrolyte balance.
- E. Administer pain medication as prescribed: This can help manage any discomfort the client may be experiencing.
Parameter: The nurse should monitor the following parameters to assess the client’s progress:
- A. Monitor blood pressure: Monitoring blood pressure is crucial in patients with acute renal failure as both hypotension and hypertension can occur.
- E. Monitor urine output: This is a key indicator of kidney function and should be closely monitored. Changes in urine output can provide early signs of improvement or deterioration in the client’s condition.
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