A nurse is providing teaching to a client who has stress incontinence. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

"Perform Kegel exercises several times daily."

"Take prescribed diuretics no later than 2000."

"Maintain a daily fluid intake of 1,000 to 1,200 mL/day."

"Attempt to void every 2 hours."

"Maintain optimal body weight for height."

Answer and Explanation

Correct Answer : A,D,E

Rationale:
A. "Perform Kegel exercises several times daily.": Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing stress incontinence episodes. Regular practice is essential for effectiveness.

B. "Take prescribed diuretics no later than 2000.": Limiting evening diuretic use helps reduce nighttime incontinence but does not address stress incontinence, which is triggered by increased intra-abdominal pressure, not fluid timing.

C. "Maintain a daily fluid intake of 1,000 to 1,200 mL/day.": Restricting fluids excessively can lead to concentrated urine and urinary tract irritation. Adequate hydration is important; fluid restriction is not recommended for stress incontinence.

D. "Attempt to void every 2 hours.": Scheduled voiding helps prevent bladder overfilling, reducing leakage episodes and improving bladder control. This is an effective behavioral strategy.

E. "Maintain optimal body weight for height.": Excess weight increases intra-abdominal pressure, which can worsen stress incontinence. Maintaining a healthy weight helps reduce strain on pelvic floor muscles.

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Correct Answer is C

Explanation

Rationale:
A. "I will plan to continue taking this medication for at least 5 years.": Disulfiram therapy is not prescribed for a fixed duration such as 5 years. The length of treatment depends on the client’s motivation and response, typically continuing until long-term abstinence is maintained.

B. "My provider wants me to take this medication for 2 weeks before I try to quit drinking.": Disulfiram must be started only after the client has abstained from alcohol for at least 12 hours, not before quitting. Taking it while alcohol is still in the system can trigger severe reactions such as flushing, nausea, vomiting, and hypotension.

C. "I should avoid over-the-counter medications that contain alcohol.": Even small amounts of alcohol—such as in cough syrups, mouthwash, or sauces—can cause a dangerous disulfiram-alcohol reaction. Clients must avoid all alcohol-containing products.

D. "I will need to get a monthly injection of this medication.": Disulfiram is taken orally, usually once daily, and does not come in injectable form. The injectable medication used for alcohol dependence is naltrexone (Vivitrol).

A. "Your child can return to school 24 hours after beginning antibiotics." B. "Your child can return to school once the fever has subsided." C. "Your child can return to school after a negative titer result." D. "Your child can return to school once the lesions have crusted over."

Correct Answer is D

Explanation

Rationale:
A. "Your child can return to school 24 hours after beginning antibiotics.": Varicella (chickenpox) is a viral infection, so antibiotics are not effective unless there is a secondary bacterial infection.

B. "Your child can return to school once the fever has subsided.": Although the fever may resolve, the child remains contagious until all lesions have crusted over, so returning at this stage risks spreading infection.

C. "Your child can return to school after a negative titer result.": Titer testing is used to assess immunity, not for determining when an active infection is no longer contagious.

D. "Your child can return to school once the lesions have crusted over.": This is the correct statement because a child with varicella is contagious until all vesicular lesions have dried and crusted, usually about 5–7 days after onset.

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A nurse is providing teaching to a client who has stress incontinence. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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