A nurse is assisting with the care of a client.
 

Exhibits

Complete the following sentence.

After notifying the provider, the nurse should first

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and then

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.

Effleurage is a massage technique commonly used during labor to provide comfort and relaxation. It involves using gentle, rhythmic stroking movements on the abdomen during contractions. This technique can help relieve tension, promote relaxation, and provide distraction from the intensity of the contractions.

Deep breathing techniques are often used during labor to promote relaxation and manage pain. However, this instruction does not specifically relate to effleurage.

Focusing on an object in the room, such as a focal point, can be a helpful technique during labor to redirect attention and manage pain. However, this instruction does not specifically relate to effleurage.

Applying pressure to the sacral area can help alleviate back pain during labor. However, this instruction describes the use of a tennis ball and is not specifically related to effleurage.

Choice A Reason:

Determining the client's pattern for voiding. The reason why determining the client's pattern for voiding is the first step in implementing a bladder training program for a client who had a stroke is as follows:

Assessment: Before implementing any intervention, it's essential to assess the client's current bladder habits and patterns. Understanding when and how often the client typically voids, as well as any specific triggers or challenges they may have, is crucial information. This assessment helps the nurse create an individualized bladder training plan based on the client's unique needs.

Choice B Reason:

Assisting the client with relaxation techniques may be a helpful intervention in bladder training, but it should come after the assessment of the client's voiding pattern. Relaxation techniques can help the client manage urgency or anxiety related to bladder function, but they should be tailored to the client's specific needs.

Choice C Reason:

Discouraging intake of carbonated beverages is a dietary recommendation that can be a part of a bladder training plan, but it should be based on the client's assessment and preferences. It's important to assess the client's current fluid intake habits and any specific dietary triggers before making recommendations.

Choice D Reason:

Offering toileting opportunities every 1 to 2 hours is a potential intervention in a bladder training program, but it should also be based on the client's voiding pattern assessment. Implementing a toileting schedule without understanding the client's current habits may not be effective or necessary.