Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

Which of the following results indicates a successful outcome in managing a CVA patient's bladder disorder?

1. Increased urinary frequency

2. No episodes of incontinence

3. Maintaining hydration

4. Regular voiding schedule

The correct answer is: No episodes of incontinence

A successful outcome in managing a patient with a cerebrovascular accident (CVA), or stroke, related bladder disorder is indicated by the absence of episodes of incontinence. This outcome highlights the effectiveness of interventions aimed at bladder control, emphasizing the patient's ability to maintain urinary continence, which is crucial for their overall quality of life and psychological well-being. Incontinence can lead to various complications, including skin breakdown and social isolation, so achieving a state where a patient does not experience episodes of incontinence demonstrates that management strategies, such as scheduled toilet times or pelvic floor exercises, are working effectively. It also reflects successful rehabilitation efforts associated with regaining patient independence and self-esteem. The other options, while relevant to bladder management, do not singularly indicate proper control over bladder function. Increased urinary frequency may suggest overactivity or irritation, which can be problematic. Maintaining hydration is essential for overall health but doesn't specifically indicate bladder control success. Lastly, although a regular voiding schedule is beneficial for managing bladder issues, it does not inherently guarantee that the patient will be continent. Thus, the absence of incontinence is the clearest indicator of a successful outcome.