What should the nurse teach the client to do to prevent stress incontinence? Select all that apply.
1. Use techniques that strengthen the sphincter and structural supports of the bladder, such as Kegel exercises. 2. Avoid dietary irritants (e.g., caffeine, alcoholic beverages).
3. Not to laugh when in social gatherings.
4. Carry an extra incontinence pad when away from home. 5. Obtain a fluid intake of 500 mL/ day.
Laughing may be a part of one's socialization, so it should not be discouraged. In non-restricted clients, a fluid intake of at least 2 to 3 L/ day is encouraged; clients with stress incontinence may reduce their fluid intake to avoid incontinence at the risk of developing dehydration and urinary tract infections. Establishing a voiding schedule would be more effective in the prevention of stress incontinence rather than carrying incontinence pads. Dietary irritants and natural diuretics, such as caffeine and alcoholic beverages, may increase stress incontinence. Kegel exercises strengthen the sphincter and structural supports of the bladder.