The nurse has completed teaching about the methods for alleviating stress incontinence for an older client. Which statement made by the client indicates that further teaching is needed?
1. "I will make sure to include citrus juice with my breakfast."
2. "My family is going to help me to remember to go to the bathroom."
3. "I am going to practice Kegel exercises at least 3 days a week."
4. "I will keep a chart to help me track the scheduled times I should void."
1. "I will make sure to include citrus juice with my breakfast."
Explanation: 1. Citrus juices are considered bladder irritants and can aggravate stress incontinence.
2. Prompted voiding is another type of timed voiding that helps the client remember to use the bathroom and can prevent stress incontinence.
3. Kegel exercises strengthen the perineal muscles and are useful in preventing stress incontinence.
4. Timed voiding has been demonstrated to be effective for older women with stress incontinence.
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