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    Ati Lpn Comprehensive Predictor 2023 Proctored Exam

    A nurse is collaborating in the plan of care for a client who has neurogenic bladder due to a spinal cord injury. Which of the following should the nurse include in the plan of care?

    Explanation & Rationale

    A. Administer an anti-spasmodic when the client reports a sudden urge to urinate: While anti-spasmodics may help manage bladder spasms, neurogenic bladder often impairs the sensation of urgency, making this approach less reliable as a primary intervention. Medication is typically adjunctive rather than the cornerstone of management. B. Have the client urinate when they feel the need to void: Clients with neurogenic bladder may have impaired bladder sensation and cannot rely on the urge to void. Waiting for a sensation can lead to urinary retention, infection, or incontinence. C. Educate the client on how to perform self-catheterization: Intermittent self-catheterization is a standard and effective management strategy for neurogenic bladder. It helps maintain bladder emptying, prevents urinary retention, reduces infection risk, and promotes independence in clients with spinal cord injuries. D. Inform the client that a one-week trial is needed to know if the plan is effective: Management of neurogenic bladder requires ongoing assessment and adjustments over time. A single-week trial is insufficient to evaluate effectiveness or detect complications, making this instruction inaccurate.

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