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.
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Related Questions
Correct Answer is C
Explanation
A) Educating clients about contraindications to specific immunizations: This task relates more to primary prevention, as it aims to prevent disease by informing clients about vaccine safety and appropriateness.
B) Helping clients understand health screenings covered by their insurance plans: This is also more aligned with primary prevention, as it focuses on the importance of screenings to detect health issues early.
C) Using an electronic messaging system to remind clients when to take medications: This is the correct answer. Tertiary prevention focuses on managing and improving the quality of life for individuals with chronic conditions, such as HIV. Reminding clients to take their medications helps prevent disease progression and complications.
D) Providing clients with information about the benefits of exercise: While exercise is beneficial for health, this task is more associated with promoting general health and wellness, aligning with primary prevention efforts rather than tertiary prevention.
Correct Answer is B
Explanation
A) Fetal anemia:Fetal anemia typically causes tachycardia (increased heart rate) rather than bradycardia (decreased heart rate). It is not a common cause of fetal bradycardia.
B) Maternal hypoglycemia:Maternal hypoglycemia can lead to decreased glucose availability for the fetus, resulting in fetal bradycardia. It is important to monitor and manage maternal blood glucose levels to ensure adequate fetal oxygenation and prevent bradycardia.
C) Chorioamnionitis:Chorioamnionitis, an infection of the amniotic fluid and membranes, usually causes fetal tachycardia rather than bradycardia. It is associated with an increased fetal heart rate due to the inflammatory response.
D) Maternal fever:Maternal fever is more likely to cause fetal tachycardia due to the increased metabolic rate and oxygen demand. It is not typically associated with fetal bradycardia.
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