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    HESI RN EXIT PROCTORED EXAM

    An older adult client arrives at the clinic describing a new onset of urinary incontinence. Which intervention should the nurse implement?

    Explanation & Rationale

    A. Providing protective undergarments may be necessary as a temporary measure to manage urinary incontinence, but it does not address the underlying cause. It should not be the initial intervention. B. Encouraging increased fluid intake may exacerbate urinary incontinence if the cause is related to an overactive bladder or other urinary tract issues. It's important to determine the cause before recommending changes in fluid intake. C. Evaluating the client's response to bladder training efforts is a relevant intervention for urinary incontinence, but it assumes that bladder training is appropriate for the client's condition. Before initiating bladder training, it's essential to assess the client's condition through proper evaluation. D. Obtaining a clean, voided urine specimen for analysis is the priority intervention. It allows for diagnostic testing to identify potential causes of urinary incontinence, such as urinary tract infections, urinary retention, or other underlying medical conditions. Once the cause is determined, appropriate interventions can be implemented, which may include bladder training, medication, or other treatments.

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