Questions: A nurse is teaching a client who has urge urinary incontinence about bladder retraining. Which of the following instructions should the nurse include? "If you are unable to urinate, sit on the toilet every 4 hours with water running in the sink." "Increase the intervals between urination by 15 minutes per day when able to remain continent." "Immediately empty your bladder when you have the urge to urinate." "If you are unable to urinate, plan to self-catheterize every 3 to 4 hours."

A nurse is teaching a client who has urge urinary incontinence about bladder retraining. Which of the following instructions should the nurse include? "If you are unable to urinate, sit on the toilet every 4 hours with water running in the sink." "Increase the intervals between urination by 15 minutes per day when able to remain continent." "Immediately empty your bladder when you have the urge to urinate." "If you are unable to urinate, plan to self-catheterize every 3 to 4 hours."
Transcript text: A nurse is teaching a client who has urge urinary incontinence about bladder retraining. Which of the following instructions should the nurse include? "If you are unable to urinate, sit on the toilet every 4 hours with water running in the sink." "Increase the intervals between urination by 15 minutes per day when able to remain continent." "Immediately empty your bladder when you have the urge to urinate." "If you are unable to urinate, plan to self-catheterize every 3 to 4 hours."
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Solution

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The answer is the second one: "Increase the intervals between urination by 15 minutes per day when able to remain continent."

Explanation for each option:

  1. "If you are unable to urinate, sit on the toilet every 4 hours with water running in the sink." - This instruction is not directly related to bladder retraining for urge urinary incontinence. It might be more relevant for someone with difficulty initiating urination, but it doesn't address the goal of increasing bladder capacity and control.

  2. "Increase the intervals between urination by 15 minutes per day when able to remain continent." - This is the correct instruction for bladder retraining. The goal of bladder retraining is to gradually increase the time between voiding to improve bladder capacity and control. By increasing the intervals by small increments, the client can work towards better bladder control.

  3. "Immediately empty your bladder when you have the urge to urinate." - This instruction contradicts the principles of bladder retraining, which aims to delay urination to increase bladder capacity and control. Emptying the bladder immediately upon feeling the urge does not help in retraining the bladder.

  4. "If you are unable to urinate, plan to self-catheterize every 3 to 4 hours." - Self-catheterization is not typically part of bladder retraining for urge urinary incontinence. It is more relevant for individuals with urinary retention or other specific medical conditions that prevent normal urination.

In summary, the correct instruction for bladder retraining in the context of urge urinary incontinence is to gradually increase the intervals between urination, as stated in the second option.

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