A client who is recovering from transurethral resection of the prostate (TURP) experiences urinary incontinence and has decreased the fluid intake because of the incontinence. What would be the nurse’s best response to the client?
1. “Yes, limiting your fluids can decrease your incontinence.”
2. “Limiting your fluids will cause kidney stones.”
3. “Drink eight glasses of water a day and urinate every 2 hours.”
4. “If your incontinence continues, we will reinsert your catheter.”
Clients who have undergone TURP need to be instructed to maintain an adequate fluid intake despite urinary dribbling or incontinence. The client should be advised to drink at least eight glasses of water a day to dilute the urine and help prevent urinary tract infections. Maintaining a voiding schedule of every 2 hours can help decrease incidents of incontinence. Teaching the client Kegel exercises is also beneficial for strengthening sphincter tone. The nurse should not encourage the client to decrease fluids. It is not necessarily true that a decreased intake will cause renal calculi. Threatening the client with a catheter is not beneficial, and it is not the treatment of choice for a client who is experiencing incontinence from TURP.
CN: Reduction of risk potential; CL: Synthesize
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