Restorative CareQuestion 117 of 200

A resident is on a bladder-retraining program. Which CNA action BEST supports the program?

a.Apply an incontinence brief at the start of each shift so accidents are avoided and the linens stay dry
b.Offer toileting on a regular schedule (e.g., every 2 hours) and praise successful continence
c.Ask the nurse to insert a Foley catheter so the linens stay dry overnight
d.Limit fluids throughout the day so that less urine is produced

Explanation

42 CFR §483.25(e) addresses urinary incontinence and requires facilities to assist residents to maintain or restore continence. Scheduled (prompted) toileting plus positive reinforcement is the evidence-based approach. Immediate briefing (a) defeats the program. Fluid restriction (d) causes dehydration, UTIs, and concentrated urine that worsens incontinence — and is not a CNA decision. Catheterization (c) is a medical order, increases infection risk (CAUTI), and is a last resort under federal regulation. Title 22 CCR §72315 obligates nursing care to support function.

Law Reference: 42 CFR §483.25(e); Title 22 CCR §72315

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