The nurse is educating a client who has been diagnosed with stress incontinence. The nurse should include which of the following in the teaching care plan? Standard Text: Select all that apply
1. The client should maintain an ideal body weight.
2. The client should limit fluid intake to 4 glasses a day.
3. The client should try to void on a regular schedule.
4. The client should perform pelvic muscle strengthening exercises.
5. The client should increase fiber intake.
1,3,4
Rationale 1: The client should maintain an ideal body weight. The client should maintain an ideal body weight. Obesity is associated with stretching of perineal muscles and further contributes to stress incontinence in females.
Rationale 2: The client should limit fluid intake to four glasses a day. Limiting fluid to 4 glasses each day is not recommended. Fluid intake should include 8 to 10 glasses of decaffeinated fluid each day.
Rationale 3: The client should try to void on a regular schedule. The client should void on a regular schedule. Sometimes, when older adults are tired they are more likely to experience periods of incontinence. Voiding on a regular schedule can help prevent accidents when the client is fatigued.
Rationale 4: The client should perform pelvic muscle strengthening exercises. Pelvic muscle strengthening exercises can strengthen the muscles that are used to prevent incontinence.
Rationale 5: The client should increase fiber intake. Increasing fiber intake is recommended for elderly clients because it may help with constipation but will not help the client with stress incontinence.
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