Nurse Eve is caring for a client who had a cerebrovascular accident (CVA). Which nursing intervention promotes urinary continence?
a. Encouraging intake of at least 2 L of fluid daily
b. Giving the client a glass of soda before bedtime
c. Taking the client to the bathroom twice per day
d. Consulting with a dietitian
Answer A.
By encouraging a daily fluid intake of at least 2 L, the nurse helps fill the client’s bladder, thereby promoting bladder retraining by stimulating the urge to void. The nurse shouldn’t give the client soda before bedtime; soda acts as a diuretic and may make the client incontinent. The nurse should take the client to the bathroom or offer the bedpan at least every 2 hours throughout the day; twice per day is insufficient. Consultation with a dietitian won’t address the problem of urinary incontinence.
a. Encouraging intake of at least 2 L of fluid daily
b. Giving the client a glass of soda before bedtime
c. Taking the client to the bathroom twice per day
d. Consulting with a dietitian
Answer A.
By encouraging a daily fluid intake of at least 2 L, the nurse helps fill the client’s bladder, thereby promoting bladder retraining by stimulating the urge to void. The nurse shouldn’t give the client soda before bedtime; soda acts as a diuretic and may make the client incontinent. The nurse should take the client to the bathroom or offer the bedpan at least every 2 hours throughout the day; twice per day is insufficient. Consultation with a dietitian won’t address the problem of urinary incontinence.
