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A nurse is providing teaching to an older adult female client who has stress incontinence and a BMI of 32. Which of the following statements by the client indicates an understanding of the teaching?

a. 'I should avoid kegel exercises.'

b. 'Losing weight won't improve my symptoms.'

c. 'Limiting fluid intake will help.'

d. 'I will perform pelvic floor exercises.'

1 Answer

1 vote

Final answer:

The correct statement by the client that indicates an understanding of the teaching is c. 'Limiting fluid intake will help.' Limiting fluid intake can be effective in reducing symptoms of stress incontinence by decreasing the stress on the pelvic floor muscles. Kegel exercises and weight loss can also aid in managing stress incontinence.

Step-by-step explanation:

The correct statement by the client that indicates an understanding of the teaching is c. 'Limiting fluid intake will help.'

Stress incontinence is caused by loss of support of the urethra, usually due to stretching of pelvic floor muscles during childbirth. Limiting fluid intake can help reduce the amount of urine produced, which decreases the stress on the pelvic floor muscles and can improve symptoms of stress incontinence.

Kegel exercises, on the other hand, are helpful for strengthening the pelvic floor muscles and can be beneficial for managing stress incontinence. Therefore, the statement a. 'I should avoid Kegel exercises' is incorrect. Losing weight can also be effective in reducing symptoms of stress incontinence, as excess weight can put extra pressure on the bladder and contribute to incontinence. Hence, statement b. 'Losing weight won't improve my symptoms' is incorrect as well.

Lastly, statement d. 'I will perform pelvic floor exercises' is partially correct, as performing pelvic floor exercises (Kegel exercises) can indeed help improve symptoms of stress incontinence. However, it is not the only measure the client should take. Limiting fluid intake can also be an effective strategy to manage stress incontinence.

User Muhammad Ahmed
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