Which of the following measures should the nurse include when establishing a bladder retraining plan of care for a patient with bladder incontinence?
A) Establishing a predetermined fluid intake pattern for the patient
B) Encouraging the patient to increase the time between voidings
C) Restricting fluid intake to reduce the need to void
D) Assessing present elimination patterns
Ans: D
Feedback: The guidelines for initiating bladder retraining include assessing the patient's intake patterns, voiding patterns, and reasons for each accidental voiding. Lowering the patient's fluid intake won't reduce or prevent incontinence. The patient should actually be encouraged to drink 1½ to 2 qt (1.5 to 2 L) of water per day. A voiding schedule should be established after assessment.
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