An older woman tells the nurse practitioner that she fears her family will place her in a nursing home because she developed stress incontinence. Which recommendation should the nurse implement?

A. Schedule voiding for every 2 hours around the clock: Timed voiding is beneficial for urge incontinence, where bladder overactivity causes sudden urgency. Stress incontinence results from weak pelvic floor muscles, so a bladder schedule alone does not address the underlying cause. B. Coordinate a family conference with the older adult: While involving family in care planning may provide emotional support, it does not target the physiologic problem of stress incontinence. C. Tell her to eliminate the use of caffeinated beverages: Caffeine reduction is helpful in managing urge incontinence because it stimulates bladder contractions. Stress incontinence is not caused by bladder irritants but by weakness of pelvic floor support structures. D. Recommend exercises to strengthen the pelvic floor: Pelvic floor (Kegel) exercises are the first-line intervention for stress incontinence. They strengthen the muscles that support the bladder and urethra, reducing leakage with activities like coughing, laughing, or lifting.