A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?

"Practice pelvic-floor exercises regularly."

"Wear a pair of disposable briefs at bedtime."

"Limit oral fluid intake to 1,000 milliliters per day."

"Drink 8 ounces of citrus juice per day."

Answer and Explanation

The Correct Answer is A

A) "Practice pelvic-floor exercises regularly.": This instruction is essential for bladder retraining. Pelvic-floor exercises, such as Kegel exercises, strengthen the muscles that support the bladder and can help improve control over incontinence.

B) "Wear a pair of disposable briefs at bedtime.": While using disposable briefs can provide comfort and protection, this approach does not contribute to bladder retraining. It may inadvertently allow the client to rely on them instead of focusing on improving bladder control.

C) "Limit oral fluid intake to 1,000 milliliters per day.": Limiting fluid intake is generally not recommended, as it can lead to concentrated urine and potential bladder irritation. Adequate hydration is important for overall health and can help maintain normal bladder function.

D) "Drink 8 ounces of citrus juice per day.": Citrus juices can irritate the bladder in some individuals, leading to increased urgency and frequency. It’s usually advisable to avoid such irritants during bladder retraining, making this instruction less appropriate.

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Correct Answer is D

Explanation

A) “You should give your child a clear liquid diet for 24 hr.”:A clear liquid diet is not typically required following a cardiac catheterization. The child can usually resume a regular diet unless otherwise instructed by the healthcare provider.

B) “Your child can take a tub bath this evening.”:Tub baths should be avoided immediately after a cardiac catheterization to prevent infection at the catheter insertion site. Sponge baths are usually recommended until the site has healed.

C) “Your child should stay out of school for 7 days following the procedure.”:While some rest is necessary, staying out of school for 7 days is generally not required. The child can usually return to school within a few days, depending on their recovery and the healthcare provider’s advice.

D) “You should remove your child’s pressure dressing tomorrow.”:Removing the pressure dressing the day after the procedure is a common instruction. It allows the site to be inspected for any signs of infection or complications and ensures proper healing.

A. Abdomen B. Neck C. Sternum D. Shoulder

Correct Answer is C

Explanation

A) Abdomen: Assessing skin turgor on the abdomen in older adults is not recommended due to the natural loss of elasticity in this area, which can lead to inaccurate results.

B) Neck: The neck is also not an ideal location for assessing skin turgor in older adults, as the skin in this area can be affected by age-related changes, leading to unreliable assessments.

C) Sternum: The sternum is a preferred site for assessing skin turgor in older adults. The skin in this area tends to retain its elasticity better than other areas, providing a more accurate assessment of hydration status.

D) Shoulder: The shoulder is not commonly used for assessing skin turgor in older adults, as it may not provide reliable results due to age-related changes in skin elasticity. The sternum remains the best option for this assessment.

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A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing discharge teaching for the guardian of a school-age child following a cardiac catheterization. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is assessing the skin turgor of an older adult client. In which of the following areas should the nurse lift the skin?

Correct Answer is C

Explanation

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