Question

The nurse is discussing bladder health with a patient. During the discussion, the nurse has emphasized the need to void in a timely manner. Which statement by a patient indicates understanding of the rationale behind the recommendations? (Select all that apply.)

a. "Urinating regularly will prevent prolonged exposure of the bladder wall to harmful wastes."
b. "Allowing my bladder to overfill causes the walls to overstretch."
c. "A full bladder can cause undue strain on the urinary sphincters."
d. "The characteristics of urine can change after being in the bladder for overly extended periods."
e. "Pressure from a distended bladder can cause excessive pressure on my colon."

Answer 1

The patient shows understanding of the need to urinate regularly by recognizing the significance of avoiding urine stagnation, preventing bladder wall overstretching, and reducing urinary sphincter strain, all of which are important for maintaining bladder health.

Step-by-step explanation:

The patient demonstrates understanding of the rationale behind the recommendation to void in a timely manner with the following statements:

• "Urinating regularly will prevent prolonged exposure of the bladder wall to harmful wastes."
• "Allowing my bladder to overfill causes the walls to overstretch."
• "A full bladder can cause undue strain on the urinary sphincters."

Each of these statements reflects an awareness of the importance of maintaining good bladder health by avoiding urine stagnation that can lead to infections, preventing damage to the bladder walls through overstretching, and reducing strain on the sphincters. Allowing the bladder to become too full can increase bladder pressure, potentially causing reflux of urine into the kidneys and leading to damage. Regular voiding is essential, especially in the elderly population, as their physical challenges and conditions such as Alzheimer's and Parkinson's disease can impair their bladder emptying.