For a client experiencing urinary incontinence, in the initial plan of care the nurse would include
a. encouraging the client to void frequently.
b. limiting fluid intake.
c. teaching Kegel exercises.
d. using adult diapers to prevent accidents.
C
Kegel exercises have long been the technique of choice for reducing urinary incontinence. Many clients self-limit fluids thinking that will help prevent accidents. Adequate fluid intake and urine production are both needed to stimulate the micturition reflex. If not contraindicated, encourage the client to drink 0.5 ml/pound of body weight daily. The frequency of voiding depends on the client's past habits, best assessed with a voiding diary. The client may need to void as often as every 30 minutes at the start of a bladder training program, but the timing is gradually increased to help increase bladder capacity. Adult diapers should be a last resort when other methods of maintaining continence have failed.
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