RN Nursing · Urinary Incontinence · Practice question
A nurse is providing teaching to a client who has stress incontinence. Which of the following instructions should the nurse include in the teaching? (Select all that apply.)
-
"Attempt to vold every 2 hours."
-
✓
"Maintain optimal body weight for height."
-
"Take prescribed diuretics no later than 2000."
-
"Maintain a daily fluid intake of 1,000 to 1.200 ml/day."
-
✓
"Perform Kegel exercises several times daily."
Answer & explanation
Correct: "Maintain optimal body weight for height." · "Perform Kegel exercises several times daily."
Stress incontinence is caused by weakened pelvic floor muscles and increased intra-abdominal pressure. Key teaching includes: maintaining optimal body weight (B), because excess weight increases intra-abdominal pressure, worsening leakage; and Kegel (pelvic floor) exercises (E), which strengthen the urethral sphincter. Timed voiding every 2 hours (A) is used for urge incontinence, not stress incontinence. Diuretics no later than 2000 (C) relates to nocturia management, not stress incontinence specifically. A fluid intake of 1,000–1,200 mL/day (D) is too restrictive; adequate hydration (1,500–2,000 mL/day) is recommended; severely restricting fluids concentrates urine and irritates the bladder (ATI Med-Surg, Urinary Incontinence; WOCN Society).
Practise Urinary Incontinence questions
Work through full question sets with instant rationales, timed exams, and progress tracking.
Start practising freeRelated practice questions
- An NP is assessing an older adult who reports a pelvic bulge. Upon physical examination, the NP visualizes the descent of the bladder in the vaginal opening. How should the NP document this finding in the patient's physical examination record?
- An NP is assessing a patient who reports continuous dribbling of urine and a weak urinary stream. How would the NP document this type of incontinence in the patient's medical record?
- During an internal genitalia examination with a patient assigned female at birth, an NP visualizes a bulge involving the entire anterior vaginal wall, together with the bladder and urethra. How would the NP document this finding in the patient's physical examination record?
- In a patient diagnosed with a stage 1 uterine prolapse based on the Pelvic Organ Prolapse Quantification system (POP-Q), the cervix is expected to be in which of the following positions anatomically?