A patient is participating in bladder retraining activities. ...

[kamilo84]

A patient is participating in bladder retraining activities. Which toileting activities will reduce the patient's episodes of incontinence?
 
  Select all that apply.
  1. scheduled toileting
  2. habit training
  3. intermittent straight catheterization
  4. external catheter placement at bedtime
  5. use of adult incontinence protection devices

Question 2

A patient is being instructed on how to perform Kegel exercises. What should be included in these instructions?
 
  Select all that apply.
  1. While voiding, stop the flow of urine and hold for a few minutes.
  2. Tighten the muscles around the anus to resist defecation.
  3. Take a deep breath and hold while performing the exercise.
  4. Perform these exercises at least once per day.
  5. Perform these exercises for at least several months.

[kardosa007]

Answer to Question 1

Correct Answer: 1, 2
Behavioral techniques such as scheduled toileting and habit training reduce the frequency of incontinence. Scheduled toileting is toileting at regular intervals (e.g., every 2 to 4 hours). Habit retraining is toileting the patient on a schedule that corresponds with the normal pattern. Intermittent straight catheterization and external catheter placement are not toileting activities. Adult incontinence devices do not reduce periods of incontinence.

Answer to Question 2

Correct Answer: 1, 2
The patient begins Kegel exercises by identifying the pelvic muscles by stopping the flow of urine during voiding and holding for a few seconds as well as by tightening the muscles around the anus as though resisting defecation. The patient should keep abdominal muscles and breathing relaxed while performing Kegel exercises. It is important to establish a routine because these exercises should be performed twice a day and continued for life.

[kamilo84]

TYSM

[ricroger]

Excellent