A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?
Explanation & Rationale
A. “Limit your fluid intake to 500 milliliters per day.”: Severely limiting fluid intake can lead to dehydration and concentrated urine, which may irritate the bladder and worsen symptoms. Adequate hydration is essential for urinary tract health and bladder training. B. "Plan to urinate every 3 hours while you are awake.”: Scheduled voiding helps train the bladder to hold urine for longer periods and can reduce episodes of urgency and incontinence. A regular schedule is a foundational component of bladder retraining. C. “Take your diuretic medication with your evening meal.”: Taking diuretics in the evening can lead to nocturia and sleep disruption. These medications should be taken in the morning to avoid increased nighttime urinary frequency. D. "Decrease your intake of cranberry juice.": Cranberry juice is often encouraged for urinary health, particularly for preventing infections. It does not worsen urge incontinence and does not need to be restricted unless contraindicated for another reason.