Which intervention(s) will help stimulate urination when a ...

[olgavictoria]

Which intervention(s) will help stimulate urination when a patient is experiencing postoperative urinary retention? (Select all that apply.)
 
  a. Reinforcing Kegel exercises
  b. Administration of bethanechol chloride (Urecholine)
  c. Pouring warm water over the perineum
  d. Increasing IV fluids
  e. Urinary catheterization

Question 2

The nurse is assisting with postpartum care for a mother who has given birth to her fourth child. She reports a moderate amount of urinary incontinence since the birth of the third child and is concerned that this problem will worsen.
 
  Which instruction(s) may facilitate management of incontinence? (Select all that apply.)
  a. Instruction of proper wiping techniques to prevent bacterial infection
  b. Education on bladder training and Kegel exercises
  c. Information on personal hygiene measures to prevent perianal breakdown
  d. Information of incontinence products and appliances
  e. Importance of establishing a regular toileting schedule
  f. Importance of increasing fluid intake

[eliasc0401]

Answer to Question 1

ANS: B, C
Administration of bethanechol chloride stimulates the parasympathetic nerve, causing contraction of the detrusor urinae muscle in the bladder, usually resulting in urination. Placing the patient in the proper position to void, pouring warm water over the perineum, and running water in the sink are techniques used to assist with voiding. Although Kegel exercises may help patients with incontinence, it will not help in postoperative urinary retention. Increasing IV fluids and catheterization will not help stimulate urination.

Answer to Question 2

ANS: A, B, C, D, E
Patient education for incontinence includes teaching about proper wiping technique to prevent infection, Kegel and bladder training exercises, personal hygiene measures to prevent perianal breakdown, incontinence products and appliances for personal use, and the importance of responding to the urge to void and maintaining a regular toilet schedule. Patient education for incontinence does not include increasing fluid intake.

[olgavictoria]

Gracias!

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TYSM