Matthew Drabinski, 81 years old, is admitted from the hospital with a Foley catheter 3 days after hip replacement surgery. Which of the following would not be a part of his bladder training program?
a. Straight catheterize his bladder after he voids to assess for the amount of residual urine in the bladder
b. Teach him how to use a urinal
c. Reinsert Foley catheter if he is unable to void on his own in 8 hours
d. Increase fluid intake up to 2000 mL/day
C
Reinserting the Foley catheter is not part of a bladder training program if the older adult does not have stage 3 or 4 pressure ulcers or a neurogenic bladder or is not terminally ill. Straight catheterization for residual volume of urine after voiding (response A) is part of the evaluation of bladder function. Teaching the older adult how to use a urinal (response B) and the importance of a good fluid intake to promote urinary function (response D) are part of a bladder training program.
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