A nurse is caring for an adolescent with spina bifida who is paralyzed from the waist down. Which of the following client statements should alert the nurse to the need for further education?

“I only need to catheterize myself twice every day.”.

“I use a suppository every night to have a bowel movement.”.

“I do wheelchair exercises while watching TV.”.

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