Question

a client who underwent a prostatectomy has learned perineal exercises to gain control of the urinary sphincter. the nurse determines that the client needs further teaching if the client states that they will perform which action as part of these exercises? answer options 1 perform the valsalva maneuver. 2 tighten the muscles as if trying to prevent urination. 3 contract the abdominal, gluteal, and perineal muscles. 4 tighten the rectal sphincter while relaxing abdominal muscles.

Explanation:

Perineal exercises for urinary sphincter control after prostatectomy involve specific muscle - tightening and relaxing. The Valsalva maneuver (bearing down as if having a bowel movement) is not part of these exercises. It can increase intra - abdominal pressure and is not helpful for urinary sphincter control. Tightening muscles as if preventing urination, contracting abdominal, gluteal, and perineal muscles, and tightening the rectal sphincter while relaxing abdominal muscles are appropriate perineal exercises.

Answer:

1. Perform the Valsalva maneuver.