A nurse teaches an older adult man to perform pelvic floor muscle exercises (PFME)? Which of the following should be included in a nurse's instructions?
A) Interrupt the flow of urine several times each time you urinate.
B) Identify the correct muscle by making the base of your penis move up and down.
C) Contract your legs and buttocks while contracting the pubococcygeal muscle.
D) Perform the exercise while standing over the toilet.
Ans: B
An important element of teaching about pelvic floor exercises is to identify the pubococcygeal muscle and practice contracting and relaxing this muscle. For men, this can be done by raising the base of the penis. Once the muscles have been identified, do not continue to stop urinary flow. These exercises can be performed sitting, standing, or lying down. Keep legs, buttocks, and abdomen relaxed.
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