How should a nurse instruct a client to perform Kegel exercises for stress incontinence?

The correct answer emphasizes the proper technique for performing Kegel exercises, which are designed to strengthen the pelvic floor muscles. For effective stress incontinence management, the core component of the Kegel exercises involves the contraction and relaxation of these muscles.

By instructing the client to tighten the pelvic muscles for a slow count of 10 and then relax for a slow count of 10, this method encourages both the strengthening phase (tightening) and the recovery phase (relaxing). This two-phase approach helps in effectively training the pelvic floor muscles. Gradual and controlled contractions are crucial, as rapid or overly prolonged contractions may not yield the same benefits and could potentially lead to muscle fatigue or strain.

This structured method of holding and relaxing the muscles allows for better mastery of the technique, which is essential for long-term improvements in managing stress incontinence. It’s also aligned with common clinical guidelines that promote a systematic approach to muscle strengthening exercises.

The other options do not align with best practices for Kegel exercises. Performing the exercises only while lying down does not encourage flexibility in different positions, while expecting improvement in just one week is unrealistic, as significant muscle strengthening typically requires consistent practice over several weeks. Additionally, holding contractions for as long as five minutes is excessive and