An older female adult tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse implement?

Question

a. Tell her to eliminate the use of caffeinated beverages.
b. Coordinate a family conference with the older adult.
c. Recommend exercises to strengthen the pelvic floor.
d. Schedule voiding for every 2 hours around the clock.

Answer 1

C

Feedback
A Incorrect. Stress incontinence is usually due to weakened pelvic floor muscles, so eliminating caffeinated beverages can be ineffective treatment.
B Incorrect. Arranging a family conference is premature and potentially embar-rassing for the older adult. Many therapies are available to decrease this older adult's incontinence.
C Correct. The nurse practitioner recommends pelvic floor exercises to strengthen the pelvic floor and the muscles that surround the urethra, the vagina, and the rectum to decrease the incidence of stress incontinence.
D Incorrect. Scheduled voiding is recommended at 2- to 4-hour intervals during the day and 4-hour intervals at night.