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 A

Explanation

A) Ensure that all area rugs are rubber-backed:Rubber-backed rugs help prevent slips and falls by keeping the rugs securely in place on the floor. This is particularly important for someone recovering from knee surgery to avoid additional injury and ensure a safe home environment.

B) Wear slippers with cloth soles:Slippers with cloth soles can be slippery and increase the risk of falls. It is safer to wear slippers with non-slip soles to provide better traction and stability.

C) Place a towel on the floor outside of the shower:Placing a towel on the floor can create a slipping hazard. Instead, using a non-slip bath mat outside the shower is recommended to prevent falls.

D) Place a handrail in the entryway of the house:While placing a handrail in the entryway can be beneficial, it is not as immediately critical as ensuring that area rugs are rubber-backed to prevent falls throughout the home. Handrails are more commonly recommended for stairs and bathrooms.

A. "This type of seizure lasts 30 to 60 seconds." B. "The child usually has an aura prior to onset." C. "This type of seizure has a gradual onset." D. "This type of seizure can be mistaken for daydreaming."

Correct Answer is D

Explanation

A) "This type of seizure lasts 30 to 60 seconds.": While absence seizures typically last about 10 to 20 seconds, they can occasionally last longer, but they usually do not extend to 30 to 60 seconds. This statement may lead to misunderstanding of the duration.

B) "The child usually has an aura prior to onset.": Absence seizures generally do not have a warning or aura, which is more common in other types of seizures, such as focal seizures. Including this information could provide incorrect expectations.

C) "This type of seizure has a gradual onset.": Absence seizures have a sudden onset and are characterized by a brief loss of awareness rather than a gradual beginning. This statement does not accurately describe the nature of the seizures.

D) "This type of seizure can be mistaken for daydreaming.": This is correct. Absence seizures often result in a brief loss of consciousness that can be misinterpreted as the child simply daydreaming or zoning out, making this information essential for parents to understand.

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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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