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

A) Document the client's condition every 15 min: This is an appropriate guideline for the use of restraints. Regular monitoring and documentation are essential to ensure the client's safety and well-being, and every 15 minutes is a commonly recommended interval.

B) Attach the restraint to the bed's side rails: Restraints should not be attached to the side rails, as this can pose a risk of injury if the rails are moved. Instead, they should be secured to a stationary part of the bed frame.

C) Remove the client's restraint every 4 hr: This guideline is not appropriate. Restraints should be removed at least every 2 hours to assess the client's needs and allow for movement, unless otherwise specified by a healthcare provider.

D) Request a PRN restraint prescription for clients who are aggressive: Restraints should not be used as a PRN intervention. They require a specific order based on an assessment of the client’s condition and should only be used when less restrictive measures have failed. Regular assessment and a clear plan of care are critical for the appropriate use of restraints.

A) Perform exercises prior to bedtime: Engaging in vigorous exercise right before bedtime can actually be stimulating and may interfere with the ability to fall asleep. It is generally recommended to complete exercise earlier in the day to promote better sleep.

B) Stay in bed at least 1 hr if unable to fall asleep: This practice can lead to increased frustration and anxiety about sleep. Instead, it is often advised to get out of bed and engage in a calming activity until feeling sleepy again, which can help reduce sleep anxiety.

C) Eat a light snack before bedtime: Consuming a light snack can be beneficial, as certain foods (like those containing tryptophan) may promote sleepiness. It is important to avoid heavy meals, but a small snack can help some individuals feel more comfortable and ready for sleep.

D) Take a 1-hr nap during the day: While napping can be beneficial, a long nap may interfere with nighttime sleep, especially if taken later in the day. It’s generally better to keep naps short (20-30 minutes) and earlier in the day to avoid impacting nighttime sleep quality.