The nurse is working in a urology clinic and is providing care for a client with urinary stress incontinence. The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence
Which is the desired outcome for a client with this diagnosis?
A) The client will stop the flow of urine when voiding.
B) The client will improve her incontinence within 1 month.
C) The client will empty her bladder every time she voids.
D) The client will perform 4-5 squeezes (Kegel exercises) for 10-15 seconds.
Answer: D
Performing 4-5 squeezes for 10-15 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 3-6 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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