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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Bradypnea: This refers to a slower than normal respiratory rate, which is not a typical manifestation of pulmonary congestion. In fact, pulmonary congestion often leads to tachypnea (increased respiratory rate).
B. Jugular vein distention: This is more indicative of right-sided heart failure or fluid overload rather than left-sided heart failure, where the primary issue is related to pulmonary congestion.
C. Weight gain: While weight gain can occur due to fluid retention in heart failure, it is not specific to pulmonary congestion and can be seen in both left-sided and right-sided heart failure.
D. Frothy, pink sputum: This is a classic manifestation of pulmonary congestion and indicates the presence of fluid in the lungs, often seen in left-sided heart failure. The pink color is due to the presence of blood, which may leak into the alveoli due to increased pressure. This finding is critical and should be closely monitored.
Correct Answer is A
Explanation
A. Provide the client with large-handled eating utensils: This intervention is beneficial for clients with multiple sclerosis, as it can help improve their grip and ease the process of eating. This is particularly important for clients who may experience weakness or coordination issues.
B. Touch the client's arm before beginning to speak: While this may be a considerate gesture for individuals with hearing impairments, it is not specifically targeted to address barriers faced by clients with multiple sclerosis, who may have visual or cognitive challenges.
C. Establish alternatives to verbal conversation: While offering alternative communication methods can be helpful, the primary barriers for many clients with multiple sclerosis often relate to physical function rather than communication alone.
D. Use the numbers on a clock to describe the position of food on the client's plate: This technique can be useful for clients with visual impairments, but it does not directly address the motor and coordination challenges often faced by clients with multiple sclerosis in daily tasks like eating.
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