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 A
Explanation
Choice A rationale
Choosing fortified foods containing vitamin B2 is a good practice. Vitamin B2, also known as riboflavin, is important for energy production and cellular function, and older adults may need more of this nutrient.
Choice B rationale
Decreasing fluid intake is not generally recommended for older adults. Adequate hydration is important for many body functions, including maintaining blood volume and preventing constipation.
Choice C rationale
Limiting intake of plant-based foods is not a healthy practice. Plant-based foods are rich in fiber, vitamins, and minerals, and they can help reduce the risk of chronic diseases.
Choice D rationale
Decreasing daily intake of protein is not generally recommended for older adults. Protein is essential for maintaining muscle mass, which tends to decrease with age.
Correct Answer is B
Explanation
Choice A rationale
Monthly vitamin B12 injections are not a risk factor for the development of osteoporosis. Vitamin B12 is important for nerve function and the production of DNA and red blood cells, not bone health.
Choice B rationale
Long-term use of prednisone, a corticosteroid, can lead to osteoporosis. Prednisone can decrease the absorption of calcium in the gut and increase the loss of calcium in the kidneys, leading to bone loss and an increased risk of fractures.
Choice C rationale
A congenital heart murmur is not a risk factor for the development of osteoporosis. Heart murmurs are sounds during your heartbeat cycle made by turbulent blood in or near your heart, and they are not associated with bone health.
Choice D rationale
A history of kidney stones is not a risk factor for the development of osteoporosis. Kidney stones are hard deposits made of minerals and salts that form inside your kidneys, and they are not associated with bone health.
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