Which should the nurse teach to assist a client to regain control ...

[acc299]

Which should the nurse teach to assist a client to regain control of her urinary sphincter?
 
  a. Do Kegel exercises.
  b. Void every hour while awake.
  c. Drink 8 to 10 glasses of water each day.
  d. Allow the bladder to become distended before voiding.

Question 2

A client with a history of a cystocele should contact the physician if she experiences:
 
  a. backache.
  b. constipation.
  c. urinary frequency and burning.
  d. involuntary loss of urine when she coughs.

[Mollythedog]

Answer to Question 1

ANS: A
Kegel exercises, tightening and relaxing the pubococcygeal muscle, will improve control of the urinary sphincter. A prescribed schedule may help, but every hour is too frequent. Restricting fluids will cause bladder irritation, which exacerbates the problem. Drinking adequate fluids will not help the problem. Overdistention of the bladder will cause incontinence.

Answer to Question 2

ANS: C
Urinary frequency and burning are symptoms of cystitis, a common problem associated with cystocele. Back pain is a symptom of uterine prolapse. Constipation may be a problem with rectoceles. Involuntary loss of urine during coughing is stress incontinence and is not an emergency.

[acc299]

Excellent

[amit]

Gracias!