A nurse teaches a client who is starting urinary bladder ...

[go.lag]

A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this client's teaching?
 
  a. Use the toilet when you first feel the urge, rather than at specific intervals.
  b. Try to consciously hold your urine until the scheduled toileting time.
  c. Initially try to use the toilet at least every half hour for the first 24 hours.
  d. The toileting interval can be increased once you have been continent for a week.

Question 2

A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching?
 
  a. You must clean around your catheter daily with soap and water.
  b. Wash the vaginal weights with a 10 bleach solution after each use.
  c. Operations to repair your bladder are available, and you can consider these.
  d. Buy slacks with elastic waistbands that are easy to pull down.

[kescobar@64]

Answer to Question 1

ANS: B
The client should try to hold the urine consciously until the next scheduled toileting time. Toileting should occur at specific intervals during the training. The toileting interval should be no less than every hour. The interval can be increased once the client becomes comfortable with the interval.

Answer to Question 2

ANS: D
Functional urinary incontinence occurs as the result of problems not related to the client's bladder, such as trouble ambulating or difficulty accessing the toilet. One goal is that the client will be able to manage his or her clothing independently. Elastic waistband slacks that are easy to pull down can help the client get on the toilet in time to void. The other instructions do not relate to functional urinary incontinence.