Question

a client tells the nurse that they completed an educational program to manage stress incontinence but that they now feel discouraged. which information from the client indicates a need for further teaching? select all that apply. answer options: 1. the client performs the kegel exercises every other day. 2. the client maintains a fluid intake of 3000 ml daily. 3. the client has quit drinking coffee with cream but drinks diet cola. 4. the client has decreased their caloric and fat intake to lose weight. 5. the client has begun an exercise program that includes lifting weights.

Explanation:

1. Kegel exercises for stress - incontinence should be done daily, not every other day.
2. A fluid intake of 3000 ml daily is appropriate for general health but not directly related to incorrect management of stress - incontinence.
3. Diet cola contains caffeine which can irritate the bladder and worsen incontinence, so this indicates a need for further teaching.
4. Losing weight is beneficial for stress - incontinence management.
5. Lifting weights can increase intra - abdominal pressure and worsen stress - incontinence, indicating a need for further teaching.

Answer:

1. The client performs the Kegel exercises every other day.
2. The client has quit drinking coffee with cream but drinks diet cola.
3. The client has begun an exercise program that includes lifting weights.