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    Ati med surg proctored examQuestion 11
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    Ati med surg proctored exam
    Select All That Apply

    A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

    Explanation & Rationale

    A. "You might require an anterior vaginal repair": Anterior vaginal repair is a surgical intervention used for stress incontinence caused by pelvic organ prolapse. It is not indicated for urge incontinence, which is related to overactive bladder and detrusor instability. B. "You should restrict your intake of caffeine": Caffeine acts as a bladder stimulant and diuretic, which can worsen urinary urgency and frequency. Restricting caffeine intake is an important nonpharmacologic strategy to help reduce symptoms of urge incontinence. C. "Your provider might prescribe anticholinergic medications.": Anticholinergic medications, such as oxybutynin, reduce detrusor muscle overactivity and help control involuntary bladder contractions. D. "You should limit fluids in the evening.": Reducing evening fluid intake helps decrease nighttime urinary frequency and urgency. This strategy supports better bladder control and minimizes sleep disruption caused by nocturia in clients with urge incontinence. E. "You might require intermittent urinary catheterization.": Catheterization is used for urinary retention, not urge incontinence. In urge incontinence, the bladder contracts too often and empties involuntarily, so catheterization would not address the underlying problem.

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