A nurse is contributing to the care plan for a client starting a bladder training program for urinary incontinence management.
What action should the nurse take?
Limit physical activity until bladder continence is achieved.
Instruct the client to void at scheduled times throughout the day.
Instruct the client to void as soon as they feel the urge.
Encourage the client to contract the abdominal muscles when they experience the urge to void.
The Correct Answer is B
Choice A rationale
Limiting physical activity until bladder continence is achieved is not typically part of a bladder training program. Physical activity can actually help improve bladder control by strengthening the pelvic floor muscles.
Choice B rationale
Instructing the client to void at scheduled times throughout the day is a key component of bladder training. This helps retrain the bladder to hold urine for longer periods and reduces episodes of incontinence.
Choice C rationale
Instructing the client to void as soon as they feel the urge is not typically part of a bladder training program. The goal of bladder training is to gradually extend the time between voids.
Choice D rationale
Encouraging the client to contract the abdominal muscles when they experience the urge to void is not typically part of a bladder training program. This could potentially lead to more leakage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Glaucoma is a contraindication for taking propranolol. Propranolol is a non-selective beta- blocker that can decrease intraocular pressure, which could worsen glaucoma.
Choice B rationale
DeBou syndrome is not a recognized medical condition and therefore cannot be a contraindication for taking propranolol.
Choice C rationale
Migraine headaches are not a contraindication for taking propranolol. In fact, propranolol is often used in the prevention of migraines.
Choice D rationale
A history of kidney stones is not a contraindication for taking propranolol. Propranolol does not affect kidney stone formation or exacerbate this condition.
Correct Answer is A
Explanation
Choice A rationale
Oxybutynin works by relaxing the muscles in the bladder. This helps decrease muscle spasms and improve the ability to control urination, thereby reducing the frequency of urination.
Therefore, this choice is correct.
Choice B rationale
Oxybutynin does not block the nervous system impulse to produce urine. It works primarily by relaxing the bladder muscles. Therefore, this choice is incorrect.
Choice C rationale
Oxybutynin does not reduce the rate at which the kidneys filter waste. Its primary action is on the bladder muscles. Therefore, this choice is incorrect.
Choice D rationale
Oxybutynin does not decrease the sensitivity of the urethral sphincter. Its main effect is to relax the bladder muscles. Therefore, this choice is incorrect.
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