The nurse assesses the female client who has a bladder control problem and leaks small amounts of urine occasionally. Which should the nurse implement to help restore the client's bladder con-trol?
1. Recommend using commercial incontinence briefs.
2. Instruct client to perform pelvic floor exercises daily.
3. Teach the client to apply an external urinary catheter.
4. Encourage client to limit daily fluid intake to 2000 ml.
2
2. To increase bladder tone and urinary sphincter function, the nurse instructs the client to perform pelvic floor exercises daily; however, the nurse cautions the client to avoid performing the exercises while on the commode because it increases the risk of urinary retention. An effective method of remembering to perform the exercises is to associate exercising with something such as television commercials, washing dishes, or stopping at a traffic light.
1. Containing incontinent urine prevents leakage onto clothing, does not improve bladder control, and does not prevent urinary leakage from the bladder; it can in-crease the risk of skin breakdown.
3 and 4. An external urinary catheter and fluid restriction are not indicated.
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