A nurse is reinforcing bladder management instructions with a client who has urinary incontinence.Which of the following statements by the client indicates an understanding?

I should use the bathroom at set times during the day.

I should stop drinking fluids an hour before bedtime.

I can continue to drink coffee every day.

I can insert a catheter in my bladder at bedtime.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Scheduled bathroom trips promote bladder retraining by establishing a pattern, enhancing control in clients with urinary incontinence. Bladder retraining encourages the bladder to hold more urine over time by following a structured toileting schedule, reducing incontinence frequency.

Choice B rationale

Limiting fluids before bedtime minimally affects urinary incontinence and can lead to insufficient hydration, resulting in more concentrated urine, which may irritate the bladder and increase urgency sensations.

Choice C rationale

Coffee contains caffeine, a diuretic, and bladder irritant that exacerbates incontinence symptoms by stimulating bladder contractions and increasing urinary frequency. Limiting caffeine is recommended for such clients.

Choice D rationale

Indwelling catheters are not generally recommended for bladder management due to their risks, including urinary tract infections and mechanical irritation. Non-invasive approaches are preferred for long-term urinary incontinence management.

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Correct Answer is D

Explanation

Choice A rationale

Cottage cheese is a dairy product that is high in protein and calcium, but it can be difficult to digest when the gastrointestinal tract is recovering from diarrhea. Its lactose content can worsen diarrhea symptoms, especially in individuals with lactose intolerance. Including low-lactose or lactose-free foods is preferable during this phase of recovery to avoid irritation of the gastrointestinal lining.

Choice B rationale

Orange slices are acidic and contain high levels of vitamin C and citric acid, which can irritate the gastrointestinal mucosa in clients recovering from diarrhea. Additionally, the fructose content can exacerbate diarrhea in some individuals by promoting osmotic effects in the gut. It is important to focus on low-acid, easily digestible foods during recovery.

Choice C rationale

Bran cereal is rich in insoluble fiber, which increases stool bulk and can accelerate intestinal transit time. This property is beneficial for constipation but contraindicated in diarrhea recovery. High-fiber foods can irritate the bowel, hindering mucosal healing and prolonging symptoms, making this a poor dietary choice in this context.

Choice D rationale

Applesauce is low in insoluble fiber and high in soluble fiber, specifically pectin, which has binding properties that help to firm stools. It is gentle on the gastrointestinal tract and promotes healing by forming a protective barrier over the mucosa. The potassium content can also help replenish electrolytes lost during diarrhea, making it a suitable choice for recovery.

A. "I will use palm oil in my cooking.”. B. "I will increase my consumption of 2% milk.”. C. "I will limit meat portions to 3 ounces per meal.”. D. "I will limit baked goods to those containing trans fats.”. . . .

Correct Answer is C

Explanation

Choice A rationale

Palm oil is high in saturated fats, which increase LDL cholesterol levels and promote atherosclerosis progression, making it unsuitable for lowering fat and cholesterol.

Choice B rationale

Increasing consumption of 2% milk elevates intake of saturated fats, which can raise LDL cholesterol levels, negating dietary goals for atherosclerosis management.

Choice C rationale

Limiting meat portions to 3 ounces per meal controls saturated fat intake, reducing LDL cholesterol levels. It aligns with dietary recommendations for managing atherosclerosis.

Choice D rationale

Baked goods containing trans fats increase LDL cholesterol while decreasing HDL cholesterol levels, worsening atherosclerosis risk and contradicting dietary teaching. .

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A nurse is reinforcing bladder management instructions with a client who has urinary incontinence.Which of the following statements by the client indicates an understanding?

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