Medical Surgical UTI & Pyelonephritis #6

Question

A 62-year-old client is in the clinic for stress incontinence. Which instructions will the nurse include to strengthen the client’s pelvic floor muscles? Select all that apply.

Answers

  1. Have a schedule to do the pelvic floor exercises.
    • Rationale:

      This answer is correct because in order to strengthen pelvic floor muscles, exercises must be implemented at regular intervals; therefore, this is an appropriate instruction from the nurse as a method of treating stress incontinence.

  2. Purchase disposable briefs now and get used to wearing them.
    • Rationale:

      This answer is not correct because while this may be necessary at some point, this intervention does not strengthen the pelvic floor muscles; therefore, the nurse does not include this teaching point as a method of treating stress incontinence.

  3. Try to start and stop the urine stream to help control and build the pelvic muscles.
    • Rationale:

      This answer is correct because starting and stopping the urine stream is an excellent activity to help the client control and build the pelvic muscles which is essential in the treatment of stress incontinence.

  4. Use Kegel exercises by holding muscles of the pelvic floor together for a count of 3-5 seconds.
    • Rationale:

      This answer is correct because kegel exercises are an evidence-based intervention to strengthen pelvic floor muscles; therefore, the nurse includes this instruction when teaching the client who is diagnosed with stress incontinence.

  5. Bladder training.
    • Rationale:

      This answer is correct because bladder training is the process of scheduling bathroom visits and delaying urination for 5 minutes and then increasing by 10 minutes until you can last 3 to 4 hours without voiding.

Overview

Urinary incontinence is defined as the involuntary passage of urine from the bladder due to loss of voluntary control over the urinary sphincters. The most common type of urinary incontinence for female clients is stress incontinence.

Explanation

Learning Outcomes

The most common type of urinary incontinence for female clients is stress incontinence. Stress incontinence is often the result of weakened pelvic floor muscles or a weak sphincter muscle at the neck of the bladder. In order to strengthen the client’s pelvic floor muscles, the nurse recommends the following activities: Scheduling pelvic floor exercises Starting and stopping the urine stream to help control and build the pelvic muscles Implementing Kegel exercises which are implemented by holding the muscles of the pelvic floor together for 3 to 5 seconds. In addition, dietary and fluid modifications can be timed during the day to decrease the need to urinate.

Test Taking Tip

When answering select all that apply (SATA) questions, consider each choice as true or false related to the question topic.

Video Rationale