A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
a. A 29-year-old client after a difficult vaginal delivery - Habit training
b. A 58-year-old postmenopausal client who is not taking estrogen therapy - Electrical stimulation
c. A 64-year-old female with Alzheimer's-type senile dementia - Bladder training
d. A 77-year-old female who has difficulty ambulating - Exercise therapy
ANS: B
Exercise therapy and electrical stimulation are used for clients with stress incontinence related to childbirth or low levels of estrogen after menopause. Exercise therapy increases pelvic wall strength; it does not improve ambulation. Physical therapy and a bedside commode would be appropriate interventions for the client who has difficulty ambulating. Habit training is the type of bladder training that will be most effective with cognitively impaired clients. Bladder training can be used only with a client who is alert, aware, and able to resist the urge to urinate.
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