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 D
Explanation
Choice A rationale
The statement “Stop taking the medication if you feel drowsy” is incorrect. Drowsiness is not a common side effect of levothyroxine, and stopping the medication abruptly can lead to withdrawal symptoms and a rebound of hypothyroid symptoms.
Choice B rationale
The statement “Expect to take this medication for 4 to 6 weeks” is incorrect. Levothyroxine is typically a lifelong therapy for individuals with hypothyroidism, not a short-term treatment.
Choice C rationale
The statement “This medication may cause permanent hair loss” is incorrect. While hair loss can be a side effect of levothyroxine, it is usually temporary and resolves as the body adjusts to the medication.
Choice D rationale
Weighing oneself at the same time every day is a good practice when taking levothyroxine. This can help monitor for changes in weight, which could indicate that the dose of levothyroxine needs adjustment.
Correct Answer is C
Explanation
Choice A rationale
Administering a laxative would not be beneficial for a patient with hypernatremia. Laxatives can cause diarrhea, which can lead to further fluid loss and exacerbate the hypernatremia.
Choice B rationale
Administering a potassium supplement would not address the issue of hypernatremia. Hypernatremia is an excess of sodium in the blood, not a deficiency of potassium.
Choice C rationale
Restricting sodium intake is a key intervention for managing hypernatremia. This can help reduce the amount of sodium in the body and bring the sodium levels back to normal.
Choice D rationale
Restricting fluid intake would not be recommended for a patient with hypernatremia. In fact, increasing fluid intake is often part of the treatment plan for hypernatremia to help dilute the excess sodium in the blood.
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