Question

Which action is most important during bladder training in a patient with a neurogenic bladder?

1) Encourage the use of an indwelling urinary catheter
2) Set up specific times to empty the bladder
3) Encourage Kegel exercises
4) Force fluids

Answer 1

The most critical action in bladder training for someone with a neurogenic bladder is to establish specific times for bathroom trips to help manage incontinence and prevent urine retention complications.

Step-by-step explanation:

The most important action during bladder training in a patient with a neurogenic bladder is to set up specific times to empty the bladder. Establishing a routine for bladder emptying helps to both manage incontinence and ensure that the bladder is not retaining urine for too long, which can lead to additional complications. Timed voiding and bladder training are beneficial because they promote regular emptying and can help re-establish control of the micturition reflex.

While Kegel exercises are essential for strengthening the pelvic floor muscles and may benefit certain types of urinary incontinence, they are not the most critical action for bladder training in patients with neurogenic bladder disorders. Similarly, forcing fluids or encouraging the use of an indwelling urinary catheter may not be the most effective approaches for bladder training, as these actions do not facilitate the retraining of the bladder's natural voiding schedule and can potentially lead to other health issues.