A nurse teaches a client with a lower motor neuron lesion who wants to achieve bladder control. Which statement should the nurse include in this client's teaching?
a. "Stroke the inner aspect of your thigh to initiate voiding."
b. "Use a clean technique for intermittent catheterization."
c. "Implement digital anal stimulation when your bladder is full."
d. "Tighten your abdominal muscles to stimulate urine flow."
ANS: D
In clients with lower motor neuron problems such as spinal cord injury, performing a Valsalva maneuver or tightening the abdominal muscles are interventions that can initiate voiding. Stroking the inner aspect of the thigh may initiate voiding in a client who has an upper motor neuron problem. Intermittent catheterization and digital anal stimulation do not initiate voiding or bladder control.
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