A patient has fallen several times in the past week when attempting to get to the bathroom. The patient gets up 3 or 4 times a night to urinate. Which recommendation by the nurse is most appropriate in correcting this urinary problem?

A) Limit fluid and caffeine intake before bed.
B) Leave the bathroom light on to illuminate a pathway.
C) Practice Kegel exercises to strengthen bladder muscles.
D) Clear the path to the bathroom of all obstacles before bedtime.

Question

KHOO WEI XUAN BRYAN · Accepted Answer

Final Answer : A, Explanation :  Reducing fluids, especially caffeine and alcohol, before bedtime can reduce nocturia. To prevent nocturia, suggest that the patient avoid drinking fluids 2 hours before bedtime. Clearing a path to the bathroom, illuminating the path, or shortening the distance to the bathroom may reduce falls but will not correct the urination problem. Kegel exercises are useful if a patient is experiencing stress incontinence.

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