Which should the nurse teach to assist a client to regain control of her urinary sphincter?
a. Do Kegel exercises.
b. Void every hour while awake.
c. Drink 8 to 10 glasses of water each day.
d. Allow the bladder to become distended before voiding.
ANS: A
Kegel exercises, tightening and relaxing the pubococcygeal muscle, will improve control of the urinary sphincter. A prescribed schedule may help, but every hour is too frequent. Restricting fluids will cause bladder irritation, which exacerbates the problem. Drinking adequate fluids will not help the problem. Overdistention of the bladder will cause incontinence.
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