A nurse is contributing to the plan of care for a client who is starting bowel training for the management of fecal incontinence. Which of the following interventions should the nurse recommend?

Choice E reason:
The first step is to clamp the catheter tubing distal to the sampling port for 15 minutes. This action allows urine to accumulate above the clamp, ensuring that there is enough urine to collect a specimen.

Choice A reason:
After clamping the tubing, the next step is to wipe the sample port with an alcohol wipe and allow it to dry. This step is crucial for maintaining the sterility of the specimen by disinfecting the area where the needleless syringe will be attached.

Choice D reason:
Once the alcohol has dried, the nurse should attach a sterile needleless syringe to the sample port and aspirate the specimen. This step is performed with aseptic technique to prevent contamination of the urine sample, which is essential for accurate laboratory results.

Choice C reason:
After aspirating the urine, it should be emptied into a sterile container that is properly labeled with the client's identifiers. Proper labeling is critical to ensure that the specimen is correctly matched to the client for testing.

Choice B reason:
The final step is to document in the client's electronic medical record that the specimen was sent to the laboratory. Documentation is a key component of nursing care, providing a record of the care provided and communication with other healthcare team members.

Choice A Reason:
Keeping the blinds open may not be beneficial for a client experiencing sensory overload, especially if the outside environment is bright or busy. It could potentially exacerbate the sensory input that the client is receiving, which is counterproductive when trying to manage sensory overload.

Choice B Reason:
While playing quiet music might be soothing for some, it is not a universally applicable strategy for managing sensory overload. For a client with cardiomyopathy who is already experiencing sensory overload, adding additional sensory stimuli, even if it is meant to be calming, could be overwhelming.

Choice C Reason:
Placing the client near the nurses' station could result in increased noise and activity levels, which might contribute to sensory overload. The nurses' station is often a hub of activity and could provide constant stimulation that is not conducive to a client who needs a reduction in sensory input.

Choice D Reason:
Breaking up nursing care into small, frequent sessions can help manage sensory overload by reducing the amount of sensory input the client experiences at any one time. This approach allows the client to receive necessary care without overwhelming their senses, which is particularly important for individuals with cardiomyopathy who may be more susceptible to stress-induced complications.