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    Ati med surg gerontology proctored exam

    A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior?

    Explanation & Rationale

    A. Use adult diapers to prevent frequent clothing changes: While diapers can keep the client clean, they do not address the underlying incontinence behavior. Overreliance may reduce dignity and does not promote bladder training or independence. B. Take the client to the bathroom every 2 hr: A scheduled toileting program is effective for clients with dementia who cannot recognize or communicate their need to void. Regular bathroom trips reduce incontinence episodes and preserve comfort and dignity. C. Remind the client to tell the nurse when he has to urinate: Clients with dementia often have impaired memory and communication, making it unrealistic to expect them to consistently verbalize their needs. D. Request a prescription for an indwelling urinary catheter: Indwelling catheters carry significant risks such as infection, skin breakdown, and reduced mobility. They should only be used for specific indications, not routine management of dementia-related incontinence.

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