A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?
a. Perform pelvic floor exercises.
b. Avoid voiding frequently.
c. Drink cranberry juice.
d. Wear an adult diaper.
ANS: A
Poor muscle tone leads to an inability to control urine flow. The nurse should recommend pelvic muscle strengthening exercises such as Kegel exercises; this solution best addresses the patient's problem. Evidence has shown that patients with urgency, stress, and mixed urinary incontinence can eventually achieve continence when treated with pelvic floor muscle training. Drinking cranberry juice is a preventative measure for urinary tract infection. The nurse should not encourage the patient to reduce voiding; residual urine in the bladder increases the risk of infection. Wearing an adult diaper could be considered if attempts to correct the root of the problem fail.
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