A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?

Determine the client's pattern for voiding

Discourage intake of carbonated beverages.

Assist the client with relaxation techniques.

Offer toileting opportunities every 1 to 2 hr.

Answer and Explanation

The Correct Answer is A

Explanation: The first step in bladder training is to assess the client's baseline bladder function and identify factors that may affect it, such as fluid intake, medications, or mobility issues. The other interventions are part of bladder training but should be implemented after assessment.

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Correct Answer is B

Explanation

The correct answer is B. The nurse should assess the client's risk for suicide by asking directly about suicidal thoughts or plans. This is a priority intervention that can help prevent harm to the client and provide appropriate referrals for further evaluation and treatment.

A. Use written signs to assist the client with locating the bathroom. B. Use confrontation to manage the client's behavior. C. Provide a stimulating environment for the client. D. Limit the number of choices for the client.

Correct Answer is D

Explanation

The correct answer is D. Limiting the number of choices for the client who has Alzheimer's disease can help reduce confusion and frustration and promote independence and dignity. Using written signs to assist the client with locating the bathroom may not be helpful, as the client may have difficulty reading or remembering what they mean. Using confrontation to manage the client's behavior can increase agitation and aggression and worsen cognitive decline. Providing a stimulating environment for the client can also overwhelm and overstimulate them and cause sensory overload.

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A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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