A patient presents to the gynecology office complaining of symptoms of stress incontinence

Question

A plan of care is developed that incorporates behavioral therapy as the approach to assist this patient in the management of stress incontinence. What role will the nurse have in implementing the behavioral therapy approach?
A) Provide medication teaching related to pseudoephedrine sulfate.
B) Teach the patient to perform pelvic floor muscle exercises.
C) Prepare the patient for an anterior vaginal repair procedure.
D) Provide information on the semipermanent procedure, periurethral bulking.

Answer 1

Ans: B
Feedback: Pelvic floor exercises are the most common behavioral intervention for addressing symptoms of incontinence. The nurse should provide patient teaching related to pseudoephedrine sulfate only if it has been prescribed, which is usually only done in conjunction with pelvic floor exercises. Surgical correction, including anterior vaginal repair and periurethral bulking, is indicated only in patients who have not achieved continence using behavioral and pharmacologic therapy.