A nurse plans care for a client with overflow incontinence.Which intervention should the nurse include in this client's plan of care to assist with elimination?

Question

Quizplus · Accepted Answer

In clients with overflow incontinence,the voiding reflex arc is not intact.Mechanical pressure,such as that achieved through the Valsalva maneuver (holding the breath and bearing down as if to defecate),can initiate voiding.Stroking the medial aspect of the thigh or providing digital anal stimulation requires the reflex arc to be intact to initiate elimination.Due to the high risk for infection,intermittent catheterization should only be implemented when other interventions are not successful.

A Nurse Plans Care for a Client with Overflow Incontinence