NursingPlex
    Sign In
    Ati rn comprehensive predictor 2023 retake proctored exam

    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

    Rationale: A. Limit your fluid intake to 500 milliliters per day: Restricting fluids to this extent can lead to dehydration and concentrated urine, which may irritate the bladder and worsen incontinence symptoms. Maintaining adequate hydration is essential during bladder retraining. B. Plan to urinate every 3 hours while you are awake: Scheduled voiding every 2 to 3 hours helps train the bladder to hold urine for longer intervals and reduces urgency episodes. This is a core component of effective bladder retraining for urge incontinence. C. Decrease your intake of cranberry juice: Cranberry juice may help prevent urinary tract infections, though its benefit in incontinence management is limited. There is no need to avoid it unless advised for another reason, as it is not a known bladder irritant. D. Take your diuretic medication with your evening meal: Taking diuretics late in the day increases nighttime urine production, leading to nocturia and disturbed sleep. Diuretics should be taken in the morning to align with daytime urinary patterns and reduce bladder strain at night.

    🔒 Submit your answer to reveal