The nurse is caring for an elderly client with stress incontinence. While bathing the client, the nurse learns which of the following factors that might have contributed to this condition?
1. She has nine children, all delivered at home.
2. Her mother had incontinence after age 50.
3. She regularly performs Kegel exercises.
4. She tries to drink six glasses of water a day.
1
Rationale: Stress incontinence is frequently linked to women who have a large family because the stretching of the vagina weakens the muscles and, in combination with pushing during delivery, there is an increased risk of bladder prolapse. It is not a hereditary condition. Kegel exercises are generally prescribed for clients with stress incontinence to strengthen pelvic muscles. The client should drink 6-8 glasses of water if she is not fluid-restricted.
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