A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

A. Wheelchair exercises help maintain physical activity and prevent complications. B. Catheterizing only twice daily is inadequate for preventing urinary tract complications. Intermittent catheterization is typically done more frequently. C. Staying hydrated is essential, as it helps prevent urinary complications. D. Using a suppository to regulate bowel movements can be part of a bowel management routine.