A nurse is caring for an adolescent who has spina bifida and is paralyzed from the waist down. Which of the following statements by the client should indicate to the nurse a need for further teaching?

"I carry a water bottle with me because I drink a lot of water."

"I use a suppository every night to have a bowel movement."

"I only need to catheterize myself twice every day."

"I do wheelchair exercises while watching TV."