A male patient complains of frequently "not being able to hold urine," especially when the bladder is very full or when lifting objects. What should the nurse do to help this patient?
Select all that apply.
1. Instruct the patient how to do Kegel exercises.
2. Suggest that the patient ask the physician for medications to control this incontinence.
3. Suggest that the patient restrict fluids.
4. Suggest the patient wear a Texas catheter.
5. Suggest the patient wear adult absorbent briefs.
Correct Answer: 1, 4
The symptoms being described by the patient are consistent with incontinence. The treatment plan for incontinence should initially begin with the least invasive measures. Kegel exercises can be used to improve tone and eliminate or reduce stress incontinence but may take some time to provide improvement. A Texas catheter is noninvasive and usually suggested for full incontinence. It may improve the patient's self- esteem and allow him to return to regular activities. Restricting fluids will not decrease incontinence. The use of adult absorbent briefs can be embarrassing to the patient, are usually reserved for patients who are unable to control their bladders, have problems with mobility, or are bedridden.
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