A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?
"Practice pelvic-floor exercises regularly."
"Wear a pair of disposable briefs at bedtime."
"Limit oral fluid intake to 1,000 milliliters per day."
"Drink 8 ounces of citrus juice per day."
The Correct Answer is A
A) "Practice pelvic-floor exercises regularly.": This instruction is essential for bladder retraining. Pelvic-floor exercises, such as Kegel exercises, strengthen the muscles that support the bladder and can help improve control over incontinence.
B) "Wear a pair of disposable briefs at bedtime.": While using disposable briefs can provide comfort and protection, this approach does not contribute to bladder retraining. It may inadvertently allow the client to rely on them instead of focusing on improving bladder control.
C) "Limit oral fluid intake to 1,000 milliliters per day.": Limiting fluid intake is generally not recommended, as it can lead to concentrated urine and potential bladder irritation. Adequate hydration is important for overall health and can help maintain normal bladder function.
D) "Drink 8 ounces of citrus juice per day.": Citrus juices can irritate the bladder in some individuals, leading to increased urgency and frequency. It’s usually advisable to avoid such irritants during bladder retraining, making this instruction less appropriate.
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Related Questions
Correct Answer is C
Explanation
A) Using up to 40 nicotine lozenges per day is excessive. The typical recommendation is to limit the use of nicotine lozenges to 5-6 per day, as excessive use can lead to nicotine toxicity and increased withdrawal symptoms.
B) Substituting tobacco use with an electronic cigarette is not recommended as a treatment option. While e-cigarettes may reduce exposure to some harmful substances found in traditional tobacco products, they can still maintain nicotine addiction and are not a clinically approved smoking cessation method.
C) Limiting the use of nicotine gum to 6 months is appropriate. While nicotine replacement therapies can be helpful for managing withdrawal symptoms, prolonged use beyond 6 months may not be beneficial and can maintain dependence on nicotine.
D) Using progressively larger nicotine patches is not the recommended approach. Nicotine patches should typically be started at a prescribed dose based on the client's previous nicotine use and adjusted as necessary, rather than increasing the dose without proper guidance.
Correct Answer is A
Explanation
A. "Information Technology will install a firewall to secure client information.": This statement is appropriate as it highlights the importance of cybersecurity measures, such as firewalls, in protecting client information within a computerized documentation system.
B. "Documentation of sensitive material is performed by the charge nurse.": This statement is misleading. While charge nurses may have responsibilities for certain documentation, all licensed nurses are responsible for accurately documenting sensitive materials related to their own patient care.
C. "You will be given access to the medical records of every client in the facility.": This is incorrect. Access to client medical records should be based on the nurse's role and the specific clients they are caring for, adhering to confidentiality and privacy policies.
D. "You will be asked to change your password once per year.": This is not sufficient for maintaining security. Best practices typically recommend changing passwords more frequently (e.g., every 3-6 months) to enhance security and protect sensitive information.
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