A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?
Explanation & Rationale
A. Determine the client's pattern for voiding: Assessing the client’s typical voiding schedule provides essential baseline data to individualize the bladder training program. Understanding frequency, timing, and triggers allows the nurse to develop an effective and structured plan for toileting. B. Discourage intake of carbonated beverages: Limiting bladder irritants can support continence but is secondary to first assessing the client’s voiding patterns. Dietary modifications alone will not optimize bladder training without an individualized schedule. C. Offer toileting opportunities every 1 to 2 hr: Regular toileting supports bladder control, but it should be based on the client’s identified voiding pattern. Implementing a schedule before assessment may be inefficient or disruptive. D. Assist the client with relaxation techniques: Relaxation can help facilitate voiding, but it is an adjunct intervention. Determining the voiding pattern first ensures that relaxation strategies are applied at appropriate times to maximize effectiveness.