What is the most appropriate nursing response for an elderly client experiencing stress incontinence?

The most appropriate nursing response for an elderly client experiencing stress incontinence is to suggest scheduling pelvic floor exercises. This approach directly addresses the underlying issue of stress incontinence, which often involves pelvic muscle weakness. Pelvic floor exercises, commonly known as Kegel exercises, can significantly strengthen the muscles that support the bladder, helping improve bladder control and potentially reducing episodes of incontinence over time.

Focusing on this exercise strategy aligns with established interventions for managing stress incontinence and empowers the client to actively participate in their care. It is a non-invasive, practical solution that can lead to long-term improvement in their symptoms.

Addressing options like weight reduction or limiting liquid intake may be parts of a comprehensive approach to managing incontinence, but they do not specifically target the weakness of the pelvic floor muscles. Using absorbent pads can be a helpful interim solution for managing symptoms, but does not promote the restoration of bladder control. Therefore, recommending pelvic floor exercises is the most direct and effective response to alleviate the client’s stress incontinence.