NUR310 Exam 1 Questions And Correct
Answers
What is stress incontinence? - answerStress incontinence is the loss of less than 50 mL of urine
during coughing, laughing, or sneezing. In women, this is often seen after having children. Kegel
exercises increase the perineal muscle tone helping to c...
What is stress incontinence? - answer✔Stress incontinence is the loss of less than 50 mL of urine
during coughing, laughing, or sneezing. In women, this is often seen after having children. Kegel
exercises increase the perineal muscle tone helping to control involuntary voiding.
Incontinence caused by over-distention of the bladder? - answer✔Overflow incontinence
Incontinence that is unpredictable and often associated with neurological issues? - answer✔Total
incontinence
incontinence associated with environmental or cognitive factors in which the client is unable to
get to the toilet? - answer✔Functional incontinence
A nurse is caring for a client who has urinary incontinence as the result of a cerebrovascular
accident (also known as "brain attack"). What action should the nurse include in the plan of care
to limit the occurrence of urinary incontinence? - answer✔Institute measures to prevent
constipation. A full rectum may exert pressure on the urinary bladder, which may precipitate
urinary incontinence.
A nurse is caring for an older bedridden male client who is incontinent of urine. What nursing
intervention is the most satisfactory initial approach to managing urinary incontinence? -
answer✔Offering the urinal regularly
An older client with the diagnosis of dementia, Alzheimer type, is admitted to a nursing home.
The client is confused and forgetful, wanders, and has intermittent episodes of urinary
incontinence. How should the nurse plan to meet this client's elimination needs? -
answer✔Taking the client to the bathroom at regular intervals removes responsibility from the
client, who is having difficulty recognizing and remembering to follow through on basic needs;
routinely emptying the bladder may reduce episodes of incontinence.
A health care provider prescribes tolterodine (Detrol) for a client with an overactive bladder.
What is most important for the nurse to teach the client to do? - answer✔Avoid activities
requiring alertness until response to the medication is knowTolterodine , a urinary tract
antispasmotic, may cause dizziness and blurred vision, placing the client at risk for injury.
Lengthening the time between voidings is a short-term goal that can be measured in increments
of 1 or more hours between each voiding, providing a measurable sign of improvement.
A boy in kindergarten has experienced urinary incontinence during the first few weeks of school.
What should the school nurse do? - answer✔Keep a change of clothes available for him in the
health office
A toddler with a repaired myelomeningocele has urinary incontinence and some flaccidity of the
lower extremities. What should the nurse teach the parents? - answer✔The child will probably
require a program of intermittent straight catheterization.
A nurse providing care in a hospital witnesses a client's spouse shaking the client vigorously
because the client has had an episode of incontinence. Because of the suspicion of physical
abuse, legally, the nurse should discuss the concerns with: - answer✔Adult protective services.
The nurse has a legal responsibility to report suspicions of abuse to the appropriate agency,
which in this instance is Adult Protective Services.
The nurse determines that which genitourinary factor contributes to urinary incontinence in older
adults? - answer✔Urinary tract infections affect the genitourinary tract and interfere with
voluntary control of micturition. Sensory deprivation is a neurological, not a genitourinary,
factor. Frequent use of diuretics is an iatrogenic, not genitourinary, factor. Inaccessibility of a
bathroom is an environmental, not genitourinary, factor.
relating to illness caused by medical examination or treatment.? - answer✔iatrogenic
Relating to the genital and urinary organs? - answer✔genitourinary
A nurse is eliciting a health history from a client with ulcerative colitis. What factor does the
nurse consider to be most likely associated with the client's colitis? - answer✔genetic
predisposition
(not autoimmune)
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