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 immediately to avoid accidents
b.Offer toileting on a regular schedule (e.g., every 2 hours) and praise successful continence
c.Limit fluids throughout the day to reduce urine production
d.Insert a Foley catheter to prevent wet linens
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 (c) causes dehydration, UTIs, and concentrated urine that worsens incontinence — and is not a CNA decision. Catheterization (d) 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 §72315Practice all 200 questions free — no signup required.
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