Basic Nursing SkillsQuestion 95 of 200

Bladder retraining for a resident with urinary incontinence typically includes:

a.Scheduled voiding every 2-3 hours (or per individualized schedule), prompted voiding, adequate fluid intake (usually 1500-2000 mL/day unless restricted), pelvic muscle exercises as appropriate, monitoring success
b.Insert an indwelling catheter so accidents are avoided, then remove it once the resident voids on schedule
c.Restrict fluids after lunch so that less urine is produced overnight
d.Use adult briefs alone, with no toileting schedule, changing them whenever they are wet

Explanation

Continence programs use scheduled/prompted voiding (every 2-3 hours), adequate fluids (1500-2000 mL/day unless contraindicated), pelvic floor exercises (Kegels) if cognitively able, monitoring and positive reinforcement. Fluid restriction (c) concentrates urine and causes UTI and dehydration; routine catheterization (b) is prohibited unless medically necessary (CMS F-690) due to CAUTI risk; relying on briefs alone (d) abandons continence goals and violates 42 CFR §483.25(e).

Law Reference: Fundamentals; bladder retraining

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