A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)
"You should limit fluids in the evening."
"Your provider might prescribe anticholinergic medications."
"You might require an anterior vaginal repair"
"You should restrict your intake of caffeine
"You might require intermittent urinary catheterization."
Correct Answer : A,B,D
A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.
B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.
C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.
D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.
E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.
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Related Questions
Correct Answer is C
Explanation
A. “The medication works by relaxing gastric muscles." Metoclopramide stimulates gastric motility rather than relaxing muscles.
B. "The medication relieves nausea by slowing peristalsis." Metoclopramide actually increases peristalsis to help empty the stomach.
C. "The medication relieves nausea by promoting gastric emptying." Metoclopramide is a prokinetic agent that enhances stomach emptying, which helps reduce nausea.
D. "The medication works by decreasing gastric acid secretions." Metoclopramide does not reduce acid secretion; it improves gastric motility.
Correct Answer is B
Explanation
A. "Don't worry, most clients dislike the prep more than the procedure itself." This dismisses the client's concerns rather than addressing them directly.
B. "Before the examination, your provider will give you a sedative that will make you sleepy." This response reassures the client by providing factual information about sedation during the procedure.
C. "After you have signed the consent form, we can talk more about this." This does not directly address the client’s anxiety.
D. "I know you're anxious, but this procedure is recommended for people your age." While screening is important, this response does not alleviate the client’s concerns.
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