Which of the following desired client outcomes will the nurse who ...

[bcretired]

Which of the following desired client outcomes will the nurse who is planning care choose for a client with the nursing diagnosis stress urinary incontinence related to sphincter incompetence?
 
  1. The client will empty her bladder every time she voids.
   2. The client will improve her incontinence within 1 month.
   3. The client will perform four to five squeezes for 10 to 15 seconds.
   4. The client will stop the flow of urine when voiding.

Question 2

The nurse is caring for a client who will be discharged with an indwelling catheter.
 
  Which of the following returned demonstrations by the client and family assist person demonstrates that they understand correct technique for caring for an indwelling catheter? 1. The client empties the drainage bag once a day.
   2. The client hangs the drainage bag on the towel rod.
   3. The client refuses to drink adequate amounts of fluids.
   4. The client takes a shower each day.

[xiazhe]

Answer to Question 1

3. The client will perform four to five squeezes for 10 to 15 seconds.

Rationale:
Performing four to five squeezes for 10 to 15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3 to 6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.

Answer to Question 2

4. The client takes a shower each day.

Rationale:
The client should take a shower rather than a tub bath because sitting in a tub allows bacteria to easily access the urinary tract. The drainage bag should be emptied regularly, not just once a day but at least three times a day. Hanging the drainage bag on the towel rod is too high. The drainage bag should be hung below the bladder. Adequate amounts of fluids should be consumed to help prevent sediments and infections.