A client with a flaccid bladder is undergoing bladder training. The nurse begins the client's bladder training using which technique?
a. Stroking the medial aspect of the thigh
b. Valsalva maneuver
c. Self-catheterization
d. Frequent toileting
B
With a flaccid bladder, the voiding reflex arc is not intact and additional stimulation may be needed to initiate voiding—the Valsalva and Credé maneuvers. Intermittent catheterization may be used after the previous maneuvers are attempted. In reflex bladder, the voiding arc is intact and voiding can be initiated by any stimulus, such as stroking the medial aspect of the thigh. A consistent toileting routine is used to re-establish voiding continence with an uninhibited bladder.
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