Which of the following desired client outcomes will the nurse who is planning care choose for a client with the nursing diagnosis stress urinary incontinence related to sphincter incompetence?
1. The client will empty her bladder every time she voids.
2. The client will improve her incontinence within 1 month.
3. The client will perform four to five squeezes for 10 to 15 seconds.
4. The client will stop the flow of urine when voiding.
3. The client will perform four to five squeezes for 10 to 15 seconds.
Rationale:
Performing four to five squeezes for 10 to 15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3 to 6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.
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