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 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.
Correct Answer is D
Explanation
A) "Limit the time your infant feeds to 10 minutes on each breast.": Limiting feeding time can be detrimental, as infants often need varying lengths of time to effectively nurse. It's essential to allow the infant to feed as long as they need to ensure adequate milk intake and to stimulate milk production.
B) "Supplement breastfeeding with water every 12 hours.": Breastfed infants typically do not need supplemental water in the first six months of life, as breast milk provides all necessary hydration and nutrients. Offering water can fill the infant's stomach and reduce breastfeeding frequency, impacting nutrition.
C) "Begin each feeding using the same breast.": It's common to start with one breast and then offer the second breast if the infant is still hungry. However, alternating which breast to start with at each feeding can help maintain an even milk supply and prevent engorgement.
D) "Offer your infant the breast when he shows signs of hunger.": This is the most appropriate recommendation. Recognizing and responding to hunger cues—such as rooting, smacking lips, or increased alertness—promotes successful breastfeeding and ensures that the infant is receiving adequate nutrition.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.