The nurse is identifying outcomes for a client with the nursing diagnosis Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?
1. The client will empty her bladder every time she voids.
2. The client will improve her incontinence within 1 month.
3. The client will perform four to five squeezes for 5 to 10 seconds.
4. The client will stop the flow of urine when voiding.
Correct Answer: 3
Rationale 1: Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time.
Rationale 2: Improved continence takes 3 to 6 months, so 1 month is not a realistic goal.
Rationale 3: Performing four to five squeezes for 5 to 10 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence.
Rationale 4: Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.
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