The nurse assists an older adult man who is diagnosed with type 2 diabetes mellitus to improve his glucose control. Which of the following instructions does the nurse give to this individual when he plans to walk more than usual in one day?

Choice A reason: Overflow incontinence is a type of urinary incontinence that occurs when the bladder becomes overfilled and cannot empty completely. This causes urine to leak out of the bladder, even when the person does not feel the urge to urinate. A large residual urine volume is a common sign of overflow incontinence, as it indicates that the bladder is not emptying properly.

Choice B reason: Urge incontinence is a type of urinary incontinence that occurs when the bladder contracts involuntarily and causes a sudden and strong urge to urinate. This can result in urine leakage before the person can reach the toilet. A large residual urine volume is not a typical feature of urge incontinence, as the bladder tends to empty frequently and urgently.

Choice C reason: Stress incontinence is a type of urinary incontinence that occurs when the pelvic floor muscles that support the bladder are weakened or damaged. This causes urine to leak out of the bladder when the person coughs, sneezes, laughs, or exerts pressure on the abdomen. A large residual urine volume is not a common symptom of stress incontinence, as the bladder does not overfill or contract involuntarily.

Choice D reason: Functional incontinence is a type of urinary incontinence that occurs when the person has normal bladder function but cannot reach the toilet in time due to physical or mental impairments. This can be caused by mobility problems, cognitive decline, dementia, or environmental barriers. A large residual urine volume is not a characteristic of functional incontinence, as the bladder can empty normally when the person has access to the toilet.

Choice A reason: Raises all four side rails is not the best intervention, as it may not prevent the client from falling and may increase the risk of injury and entrapment. Raising all four side rails may also be considered a form of restraint, which should be avoided unless absolutely necessary.

Choice B reason: Orders a two-person assist with a transfer is not the best intervention, as it may not be appropriate for the client's level of mobility and may reduce the client's independence and self-esteem. The nurse should assess the client's ability to transfer and use the appropriate assistive device and number of staff to ensure safety and comfort.

Choice C reason: Gives the client a dry erase board is the best intervention, as it can facilitate the client's communication and expression of needs and preferences. The client may have difficulty speaking or writing due to the stroke, which can affect the language and motor areas of the brain. A dry erase board can allow the client to use simple words, symbols, or drawings to convey their messages.

Choice D reason: May need to incorporate repetition is not the best intervention, as it is not specific and may not be effective for the client's learning and retention. The nurse should use individualized and evidence-based strategies to teach the client and their family about the stroke, its effects, and the rehabilitation plan. Repetition may be one of the strategies, but not the only one.

Choice E reason: None of the above is not the correct answer, as there is one choice that is the best intervention for the nurse to implement when caring for this client.