Question

A nurse is implementing a bladder training program for client shohada stroke. Which of the following interventions should the nurse take? o Offer Toileting Every 6hr o Encourage Intake Of Caffeinated Beverages o Limit fluid intake to 1500 mL day o Check for residual urine after voiding

Answer 1

In a bladder training program for stroke patients, a nurse should offer toileting every 2-4 hours, limit fluid intake to 1500-2000 mL of mainly non-caffeinated beverages per day, and check for residual urine after voiding to assess the patient's ability to empty their bladder.

Step-by-step explanation:

When a nurse is implementing a bladder training program for a client who had a stroke, she can employ several useful techniques. One of the most effective is offering toileting every 2-4 hours rather than every 6 hours, as this can help the patient avoid overflow incontinence and get accustomed to more regular and manageable voiding habits.

However, it is also important to monitor and possibly limit fluid intake, focusing on non-caffeinated beverages. Aim for a fluid intake of about 1500 mL to 2000 mL per day to prevent overfilling of the bladder which might lead to accidental voiding. Caffeinated beverages could overstimulate the bladder, thereby creating an unnecessary urge to urinate.

Finally, checking for residual urine after voiding can help identify if the client is able to completely empty their bladder. If there is a significant amount of urine left, this could indicate an issue with the micturition reflex which controls voluntary and involuntary urination actions.

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