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."

Answer and Explanation

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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Correct Answer is C

Explanation

A) Tinnitus: This is not typically associated with pneumonia. Tinnitus refers to ringing in the ears and is more related to auditory issues rather than respiratory infections.

B) Drooling: While drooling may occur in some cases of severe throat infections or in children with difficulty swallowing, it is not a classic sign of pneumonia.

C) Fever: This is the correct answer. Fever is a common manifestation of bacterial pneumonia in children, indicating an immune response to infection. It often accompanies other symptoms like cough and difficulty breathing.

D) Steatorrhea: This refers to fatty stools, which are more associated with malabsorption syndromes or pancreatic issues, not pneumonia. It is not an expected manifestation of bacterial pneumonia.

A. Large soaking tub without a shower head B. No stairs in the home C. Elevated toilet seats D. Reclining chair with a straight back

Correct Answer is A

Explanation

A. Large soaking tub without a shower head: This poses a potential risk for injury. A large soaking tub can make it difficult for the client to safely enter and exit, increasing the risk of falls, especially after a total hip arthroplasty.

B. No stairs in the home: This is actually a positive finding, as having no stairs reduces the risk of falls and injury for the client during their recovery.

C. Elevated toilet seats: Elevated toilet seats are generally considered beneficial for clients recovering from hip surgery, as they make it easier to sit down and stand up, reducing strain on the hip.

D. Reclining chair with a straight back: This is also a positive finding. A reclining chair can provide comfort and support, and a straight back can promote proper posture during recovery.

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A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?

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