Which of the following nursing interventions is appropriate for managing urinary incontinence?

Encouraging fluid intake to increase urine output

Providing frequent reminders for the client to use the restroom

Encouraging the client to perform Kegel exercises regularly

Limiting the client's access to the restroom to promote bladder control

Answer and Explanation

The Correct Answer is C

Choice a reason: Encouraging fluid intake to increase urine output is not the most effective intervention for managing urinary incontinence. While adequate hydration is important, simply increasing fluid intake can exacerbate the symptoms of incontinence and lead to more frequent episodes of urine leakage.
Choice b reason: Providing frequent reminders for the client to use the restroom can be helpful in managing incontinence, especially in individuals who may have cognitive impairments or are forgetful. However, it is not the most effective intervention compared to exercises that strengthen the pelvic floor muscles.
Choice c reason: Encouraging the client to perform Kegel exercises regularly is the most appropriate intervention for managing urinary incontinence. Kegel exercises help strengthen the pelvic floor muscles, which support the bladder and urethra, and can improve bladder control. Regular practice of these exercises has been shown to reduce the symptoms of incontinence significantly.
Choice d reason: Limiting the client's access to the restroom to promote bladder control is not an appropriate intervention. This approach can increase the risk of urinary retention and lead to complications such as urinary tract infections. It is more important to promote regular voiding patterns and encourage the use of techniques that improve bladder control.

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Correct Answer is C

Explanation

Choice a reason: CAPD is not typically the treatment of choice for a client who has a history of abdominal trauma. Abdominal trauma can cause complications and may affect the peritoneal cavity's ability to act as a dialyzing membrane, making peritoneal dialysis less suitable. Clients with a history of abdominal issues may be better suited for other forms of dialysis, such as hemodialysis.
Choice b reason: The dialyzing solution in CAPD does not infuse using an infusion pump. Instead, it is infused into the peritoneal cavity by gravity through a catheter. The client manually controls the infusion process by hanging the dialysate bag at an appropriate height to allow gravity to facilitate the flow of the solution into the peritoneal cavity.
Choice c reason: The dialysis is continuous 24 hours a day, 7 days a week. CAPD involves multiple exchanges of dialysate throughout the day, with each dwell time typically lasting 4-6 hours. The process is continuous, providing ongoing filtration and waste removal, which helps manage the symptoms and complications of chronic kidney disease.
Choice d reason: The dialyzing solution is not suspended at the level of the umbilicus during the infusion. Instead, the dialysate bag is typically hung higher than the client's abdomen to use gravity for infusion. The height of the bag helps control the flow rate of the solution into the peritoneal cavity. Proper technique is essential to ensure effective dialysis and prevent complications.

A. Maintain IV fluids and encourage oral fluids B. Promote assisted ambulation as tolerated C. Strain urinary output and observe for stones D. Administer prescribed narcotic medication

Correct Answer is C

Explanation

Choice a reason: Maintaining IV fluids and encouraging oral fluids is important for patients with renal colic to ensure hydration and facilitate the passage of kidney stones. However, it is not the most immediate action to take for managing the patient's current condition, which includes severe pain and hematuria.
Choice b reason: Promoting assisted ambulation as tolerated can help in the movement and passage of kidney stones. Nevertheless, it is not the priority action to take initially when the patient is experiencing severe pain and there is a need to identify the cause of the hematuria.
Choice c reason: Straining urinary output and observing for stones is the most appropriate initial action. This allows the nurse to collect any stones that pass, which can then be analyzed to determine their composition. Understanding the type of stone can help in planning further treatment and preventive measures. Identifying and collecting the stones is crucial for proper diagnosis and management of renal colic.
Choice d reason: Administering prescribed narcotic medication is essential for managing severe pain associated with renal colic. Pain management is a critical component of care. However, while it is necessary, it should be accompanied by straining the urine to detect any stones and understand the underlying cause of the symptoms.

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Which of the following nursing interventions is appropriate for managing urinary incontinence?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching for a client who has chronic kidney disease about the process of continuous ambulatory peritoneal dialysis (CAPD). Which of the following should the nurse include in the teaching?

Correct Answer is C

Explanation

The nurse is providing care for a patient admitted with severe flank pain identified as renal colic. Urinalysis is positive for microscopic hematuria. Which action should the nurse take?

Correct Answer is C

Explanation

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