A nurse is planning teaching about methods to reduce incontinent episodes for a client who has stress incontinence. Which of the following Instructions should the nurse plan to include?
"Plan to void every 6 hours."
"Squeeze your legs together when you feel the urge to void."
"Perform Kegel exercises three times daily."
"Drink 1 liter of fluids a day."
The Correct Answer is C
A. "Plan to void every 6 hours.": Voiding every 6 hours may not be appropriate for clients with stress incontinence. A more individualized schedule based on the client's needs and fluid intake is better. Holding urine for too long could worsen symptoms.
B. "Squeeze your legs together when you feel the urge to void.": This is not effective in managing stress incontinence. Instead, strategies like pelvic muscle exercises (Kegel exercises) can help strengthen the muscles that control urination.
C. "Perform Kegel exercises three times daily.": Kegel exercises help strengthen the pelvic floor muscles, which can reduce stress incontinence by improving bladder control. This is an effective and recommended strategy for managing the condition.
D. "Drink 1 liter of fluids a day.": Restricting fluids can concentrate urine, irritating the bladder and worsening incontinence. It’s generally better to maintain adequate hydration, typically around 2 liters of fluids daily, unless otherwise directed by the healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Soiled cat litter: Clients with HIV are at increased risk for infections, including toxoplasmosis, which can be contracted from handling soiled cat litter. The nurse should instruct the client to avoid contact with cat litter to prevent exposure to these pathogens.
B. Pasteurized milk: Pasteurized milk is safe to consume and does not pose a significant risk for infection in clients with HIV. The pasteurization process kills harmful bacteria, making it safe for immunocompromised individuals.
C. Scrambled eggs: Scrambled eggs are safe to eat as long as they are properly cooked. The risk of infection from eggs is primarily related to undercooking, which is not specific to HIV-positive clients.
D. Electric razor: An electric razor is safe to use, provided it is kept clean and sanitized. Disposable razors or proper hygiene practices can prevent the risk of cuts and infections, which is not specific to HIV-positive individuals.
Correct Answer is C
Explanation
A. Hypotension: While hypotension can be a concern with opioid use, it is less immediately life-threatening compared to respiratory depression, which is the most dangerous side effect of morphine. Monitoring BP is important, but the priority is airway and breathing.
B. Bradycardia: Bradycardia is a possible side effect of morphine, but it does not usually present an immediate risk to the client's life unless it is severe. Respiratory depression poses a greater risk to the client’s oxygenation status.
C. Bradypnea: Bradypnea (slow breathing) is the most critical concern when a client is receiving morphine. Opioids like morphine can cause respiratory depression, which can be life-threatening. This should be the nurse's priority to assess and address immediately.
D. Pruritus: Pruritus (itching) is a common side effect of morphine, but it is not life-threatening. While it can be uncomfortable, it does not require immediate intervention compared to respiratory depression.
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