Which focus is the nurse most likely to teach for a client with a flaccid bladder?
A. Habit training: attempt voiding at specific time periods.
B. Bladder training: delay voiding according to a pre-schedule timetable.
C. Crede’s maneuver: apply gentle manual pressure to the lower abdomen.
D. Kegel exercises: contract the pelvic muscles.
Correct Answer: C. Crede’s maneuver: apply gentle manual pressure to the lower abdomen.
Because the bladder muscles will not contract to increase the intra-bladder pressure to promote urination, the process is initiated manually. The Credé maneuver is a technique used to void urine from the bladder of an individual who, due to disease, cannot do so without aid. The Credé maneuver is executed by exerting manual pressure on the abdomen at the location of the bladder, just below the navel. Options one, two, and four: to promote continence bladder contractions are required for habit training, bladder training, and increasing the tone of the pelvic muscles.
Option A: One type of toilet training is habit training. Habit training is the process of teaching a child to eliminate on the toilet at routine times. Habit training involves teaching children to eliminate on the toilet by developing a toileting routine/habit.
Option B: Bladder training is an important form of behavior therapy that can be effective in treating urinary incontinence. The goals are to increase the amount of time between emptying your bladder and the amount of fluids your bladder can hold. It also can diminish leakage and the sense of urgency associated with the problem.
Option D: Kegel exercises can help make the muscles under the uterus, bladder, and bowel (large intestine) stronger. They can help both men and women who have problems with urine leakage or bowel control.