A nurse develops a plan of care for a family with nursing diagnosis of Caregiver Role Strain related to urinary incontinence. Which of the following interventions is the highest priority?
A) Administer diphenhydramine at bedtime.
B) Assist the client to the bathroom prior to bedtime.
C) Limit the fluid intake of the client to 1000 mL each day.
D) Monitor bowels for diarrhea and constipation.
Ans: B
Walking the client to the bathroom encourages voiding prior to bedtime. Urinary incontinence is a major factor that impacts placement in an institution. Fluid intake should be carefully timed and should be about 2,000 mL per day. Diphenhydramine relaxes bladder muscles, which can lead to urinary retention and incontinence.
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