The nurse is caring for a client with paraplegia resulting from a T10 spinal cord injury who has a neurogenic reflex bladder. Which of the following actions should the nurse include in the plan of care?
A)Educate on the use of the Credé method.
B)Teach the client how to self-catheterize.
C)Catheterize for residual urine after voiding.
D)Assist the client to the toilet every 2 hours.

Question

Quizplus · Accepted Answer

Because the client's bladder is spastic and will empty in response to overstretching of the bladder wall, the most appropriate method is to avoid incontinence by emptying the bladder at regular intervals through intermittent catheterization. Assisting the client to the toilet will not be helpful because the bladder will not empty. The Credé method is more appropriate for a bladder that is flaccid, such as occurs with a reflexic neurogenic bladder. Catheterization after voiding will not resolve the client's incontinence.

The Nurse Is Caring for a Client with Paraplegia Resulting