Difficulty: Medium
Average Score: 75%
Simulated
A nurse is implementing a bladder training program for a client who had a stroke. Which of the following interventions should the nurse take first?
Correct answer
A
Rationale
The correct answer is A: Determine the client's pattern for voiding. This should be done first to establish a baseline understanding of the client's current voiding habits. Understanding the client's pattern will help the nurse tailor the bladder training program to suit the client's needs effectively. This step is essential for developing a personalized plan that addresses the client's specific challenges and goals.
Other choices are incorrect because:
B: Discouraging intake of carbonated beverages may be a part of the plan but should not be the first step.
C: Assisting the client with relaxation techniques is beneficial but not as crucial as understanding the voiding pattern initially.
D: Offering toileting opportunities every 1 to 2 hr is a key part of the program but should come after determining the client's voiding pattern.
Other choices are incorrect because:
B: Discouraging intake of carbonated beverages may be a part of the plan but should not be the first step.
C: Assisting the client with relaxation techniques is beneficial but not as crucial as understanding the voiding pattern initially.
D: Offering toileting opportunities every 1 to 2 hr is a key part of the program but should come after determining the client's voiding pattern.