A patient asks about treatment for stress urinary incontinence. ...

[ahriuashd]

A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?
 
  a. Perform pelvic floor exercises.
  b. Avoid voiding frequently.
  c. Drink cranberry juice.
  d. Wear an adult diaper.

Question 2

A nurse is inserting a catheter into a female patient. When the nurse inserts the catheter, no urine is obtained. The nurse suspects the catheter is not in the urethra. What should the nurse do?
 
  a. Throw the catheter way and begin again.
  b. Fill the balloon with the recommended sterile water.
  c. Remove the catheter, wipe with alcohol, and reinsert after lubrication.
  d. Leave the catheter in the vagina as a landmark for insertion of a new, sterile catheter.

[emsimon14]

Answer to Question 1

ANS: A
Poor muscle tone leads to an inability to control urine flow. The nurse should recommend pelvic muscle strengthening exercises such as Kegel exercises; this solution best addresses the patient's problem. Evidence has shown that patients with urgency, stress, and mixed urinary incontinence can eventually achieve continence when treated with pelvic floor muscle training. Drinking cranberry juice is a preventative measure for urinary tract infection. The nurse should not encourage the patient to reduce voiding; residual urine in the bladder increases the risk of infection. Wearing an adult diaper could be considered if attempts to correct the root of the problem fail.

Answer to Question 2

ANS: D
If no urine appears, the catheter may be in the vagina. If misplaced, leave the catheter in the vagina as a landmark to indicate where not to insert, and insert another sterile catheter. The catheter should be left in place until the new, sterile catheter is inserted. The balloon should not be filled since the catheter is in the vagina. The catheter must be sterile; using alcohol will not make the catheter sterile.

[ahriuashd]

TYSM

[flexer1n1]

Thanks for the timely response, appreciate it