A nurse is caring for a client with urge incontinence. What should the nurse include in the client education?
A) Tell the client to perform Kegel exercises daily.
B) Ask the client to decrease fluid intake.
C) Ask the client to void small amounts frequently.
D) Tell the client to perform Credé maneuvers.
A
Feedback:
The nurse should tell the client to perform daily Kegel exercises to treat urge incontinence. Kegel exercises are designed to increase sphincter tone and to help the client prevent leaking on the way to the bathroom. Decreasing fluid intake concentrates the urine further and increases bladder spasms. The client should not be asked to void small amounts frequently because frequency decreases the functional capacity of the bladder, thereby weakening the detrusor muscle. Credé maneuvers are used to manage overflow incontinence, not urge incontinence.
You might also like to view...
A patient comes into the clinic to renew her prescription for her chronic psoriasis condition. She is likely being treated with which of the following?
a. An antipsoriatic b. A scabicide c. A pediculicide d. Steroids
A client who is 16 weeks pregnant with her first baby asks how long it will be before she feels the baby move. Which is the nurse's best answer?
a. "You should have felt the baby move by now." b. "The baby is moving, but you can't feel it yet." c. "Some babies are quiet and you don't feel them move." d. "Within the next month you should start to feel fluttering sensations."
A patient is brought to the emergency department with gunshot wounds to the abdomen and lower extremities. To protect the chain of evidence for these injuries, what should the nurse do?
1. Remove the patient's clothing and place in a breathable bag. 2. Cover the patient's hands with plastic bags. 3. Cut off the patient's clothing and bathe the skin and wounds as soon as possible. 4. Place clothing and other patient items on a bedside table and have a nursing assistant remove them when possible.
The clinic nurse describes the respiratory system changes common to pregnancy to the new nurse. These changes include:
Select all answers that apply: A) An increased tidal volume B) A decreased airway resistance C) An increased chest circumference D) An increased airway resistance