A client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program?
a) Assessing present voiding patterns
b) Restricting fluid intake to reduce the need to void
c) Establishing a predetermined fluid intake pattern for the client
d) Encouraging the client to increase the time between voidings
Answer: a) Assessing present voiding patterns
The guidelines for initiating bladder retraining include assessing the client's present intake patterns, voiding patterns, and reasons for each accidental voiding. Lowering the client's fluid intake won't reduce or prevent incontinence. The client should be encouraged to drink 1.5 to 2 L of water per day. A voiding schedule should be established after assessment.
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