A nurse is implementing a bladder retraining program for a client. Which of the following actions should the nurse take?
Explanation & Rationale
A. Restrict oral fluid intake during waking hours: Limiting fluids can lead to dehydration and concentrated urine, increasing the risk of urinary tract infections. Adequate hydration is essential while retraining the bladder, so fluid restriction is not recommended. B. Encourage the client to hold her breath when feeling the urge to urinate: Holding the breath does not effectively control bladder contractions and may cause discomfort or increase abdominal pressure. Behavioral techniques like scheduled voiding are more effective. C. Assist the client to the bathroom every 2 hr.: Scheduled toileting is a key component of bladder retraining. Assisting the client to void at regular intervals helps gradually increase bladder capacity and improve continence by reducing urgency and accidents. D. Provide adult diapers until bladder retraining is successful: While adult diapers may be used for safety and hygiene, relying on them does not actively promote bladder control. They are a supportive measure but do not facilitate the retraining process itself.