Several Weeks After a Stroke, a Patient Has Urinary Incontinence

question 24

Multiple Choice

Several weeks after a stroke, a patient has urinary incontinence resulting from an impaired awareness of bladder fullness. For an effective bladder training program, which nursing intervention will be best to include in the plan of care?

• A) Limit fluid intake to 1200 mL daily to reduce urine volume.
• B) Assist the patient onto the bedside commode every 2 hours.
• C) Perform intermittent catheterization after each voiding to check for residual urine.
• D) Use an external "condom" catheter to protect the skin and prevent embarrassment.

---

Definitions:

Extensor Carpi Ulnaris

A muscle of the forearm that extends and adducts the wrist.

Lateral Hamstring

Refers to the biceps femoris, one of the three muscles at the back of the thigh involved in knee flexion and thigh extension.

Biceps Femoris

A muscle of the posterior thigh that is part of the hamstrings group, involved in knee flexion and thigh extension.

Semitendinosus

A muscle located in the back of the thigh, part of the hamstrings group, involved in flexing the knee and extending the hip.