A 74-year-old woman who is in the hospital for rehabilitation following hip replacement has been experiencing incontinence since admission. Which of the following interventions are likely to fa-cilitate the restoration of the patient's bladder function?
(Select all that apply.)
a. Assess the patient's recent voiding pat-tern.
b. Request an order for an indwelling cathe-ter from the patient's physician.
c. Teach the patient how to meet hydration needs while still limiting fluid intake.
d. Assist the patient to use the bathroom.
e. Request an order for medication to de-crease bladder spasms.
ANS: A, D
When a patient experiences new onset incontinence, the first step is assessment. Assisting the pa-tient to the bathroom has many beneficial aspects to it and it provides a private setting where the patient is in the most normal physiological position to urinate. Placing an indwelling catheter is not a solution to urinary incontinence. Limiting fluids is not indicated in this patient. There is no indication that this patient is having bladder spasms.
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