Question

a client tells the nurse she completed an educational program to manage her stress incontinence but is now discouraged. which information from the client indicates the need for further teaching? select all that apply.

Answer 1

1. She performs the Kegel exercises every other day.

2. She quit drinking coffee with cream but drinks diet cola.

5. She has begun an exercise program that includes lifting weights.

Step-by-step explanation:

Rationale: With stress incontinence, the client loses a small amount of urine involuntarily during activities that increase abdominal pressure, such as coughing, jogging, or lifting weights. This is due to weakened pelvic muscles and the inability to tighten the urethra enough to counteract bladder contraction. Kegel exercises, in which the woman contracts and relaxes the pelvic muscles to regain muscle tone should be done on a daily basis and may take up to 3 months before yielding positive results. Clients should avoid caffeine and alcohol that stimulate bladder contraction. Diet cola likely contains caffeine. The exercise program involving weight lifting also increases abdominal pressure, leading to incontinence. The client is correct to lose weight (source for increased abdominal pressure) and maintain adequate fluid intake.