# An adult with urgency urinary incontinence has a negative urinalysis, no urinary retention, and several daily leaks recorded in a bladder diary. Complete the initial elimination plan. > source: MyMerci (mymerci.kr) > url: https://mymerci.kr/pages/nclex_q.php?qn_id=525989&lang=en > language: en > subject: Elimination > category: BCC ## Question An adult with urgency urinary incontinence has a negative urinalysis, no urinary retention, and several daily leaks recorded in a bladder diary. Complete the initial elimination plan. The nurse should begin with ::선택::waiting to void until leakage occursa bladder-diary-based timed-voiding schedule that is adjusted graduallyroutine indwelling catheter usestopping all daytime fluid intake, add ::선택::pelvic-floor contractions only while urine is flowingbedrest whenever urgency occursabdominal straining to suppress each urgepelvic-floor muscle training and coached urge-suppression strategies, and teach the client to avoid ::선택::reviewing the diary with the health professionalreporting new dysuria or hematuriasevere fluid restriction as the main control strategyusing the bathroom according to the planned schedule. ## Explanation Bladder training uses a diary and a regular voiding schedule, with the interval gradually adjusted according to the plan. Pelvic-floor muscle exercises and urge-suppression strategies can improve control. Severe fluid restriction can concentrate urine, worsen other health problems, and does not teach bladder control. New dysuria, hematuria, inability to void, fever, or neurologic changes would require reassessment rather than simply continuing the same plan. ## In-depth explanation Correct Answer Use the bladder diary to begin timed voiding, teach pelvic-floor and urge-suppression skills, and avoid severe fluid restriction while monitoring for new warning signs. Why It Fits Scheduled practice and pelvic-floor control target the pattern causing urgency leaks without creating dehydration risk. Clinical Picture Infection and retention have been excluded in the scenario, so conservative training is a reasonable initial approach. Memory Link Track, time, tighten: track the pattern, time voiding, use the pelvic floor. NCLEX Rule Conservative elimination care is structured training, not simply drinking as little as possible. Why the Alternatives Fail Voiding only after leakage does not train the pattern. Performing pelvic-floor contractions only during urination is not the routine exercise method. Ignoring new hematuria or retention could miss a new condition. Source 1NIDDK Treatments for Bladder Control Problems 22026 NCLEX-RN Test Plan ## Clinical scenario The client is stable and is beginning conservative management. The nurse teaches a structured plan that can be reviewed and adjusted with the health professional. ## Key concepts - **Urgency Urinary Incontinence** — Involuntary urine leakage associated with a sudden difficult-to-defer urge to void. - **Timed Voiding** — Using a planned bathroom schedule rather than waiting for severe urgency or leakage. - **Urge Suppression** — Strategies such as pausing, relaxed breathing, and quick pelvic-floor contractions to reduce urgency long enough to reach a toilet safely. ## Related questions - [A 78-year-old long-term care resident has new-onset fecal incontinence three times a day f…](https://mymerci.kr/pages/nclex_q.php?qn_id=372730&lang=en) - [A 79-year-old patient on home hospice with end-stage pancreatic cancer reports pain 8/10 a…](https://mymerci.kr/pages/nclex_q.php?qn_id=372762&lang=en) - [A nurse on a geriatric unit is implementing the Hospital Elder Life Program (HELP) bundle …](https://mymerci.kr/pages/nclex_q.php?qn_id=372803&lang=en) - [A postoperative client has not voided for 8 hours and reports lower abdominal discomfort. …](https://mymerci.kr/pages/nclex_q.php?qn_id=394133&lang=en) - [A client is 8 hours postoperative after spinal anesthesia. 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