A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)
"You should limit fluids in the evening."
"Your provider might prescribe anticholinergic medications."
"You might require an anterior vaginal repair"
"You should restrict your intake of caffeine
"You might require intermittent urinary catheterization."
Correct Answer : A,B,D
A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.
B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.
C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.
D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.
E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.
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Related Questions
Correct Answer is C
Explanation
A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.
B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.
C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.
D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.
Correct Answer is A
Explanation
A. Stoma is purple. A purple, dusky, or black stoma indicates poor blood circulation, possibly due to ischemia or necrosis. This is a surgical emergency requiring immediate attention.
B. Stoma is moist. Normal finding, indicating adequate perfusion.
C. Stoma is flush with the skin. Possible but not necessarily abnormal. However, a retracted stoma (sunken below skin level) could lead to leakage and skin irritation.
D. Stoma is protruding from the abdomen. Normal in the early postoperative period. A slight protrusion (bud-like shape) is expected. However, significant prolapse (excessive protrusion) may need evaluation.
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