Basic Nursing SkillsQuestion 95 of 200
Bladder retraining for a resident with urinary incontinence typically includes:
a.Restricting all fluids
b.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
c.Catheterization to avoid accidents
d.Adult briefs only with no scheduling
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 (a) concentrates urine and causes UTI and dehydration; routine catheterization (c) 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).
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