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Exam (elaborations)

NUR310 Exam 1 Questions and Answers

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What is stress incontinence? - Correct Ans-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. Incontinenc...

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  • October 18, 2024
  • 12
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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NUR310 Exam 1 Questions and Answers
2024-2025
What is stress incontinence? - Correct Ans-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? - Correct Ans-Overflow
incontinence

Incontinence that is unpredictable and often associated with neurological issues? -
Correct Ans-Total incontinence

incontinence associated with environmental or cognitive factors in which the client is
unable to get to the toilet? - Correct Ans-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? - Correct Ans-
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? - Correct Ans-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?
- Correct Ans-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? - Correct Ans-
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.

A nurse in the pediatric clinic is planning care for a 7-year-old boy with enuresis. What is
an appropriate short-term goal for this child? - Correct Ans-The length between voidings
will increase by 1 hour.

, 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? - Correct Ans-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? - Correct
Ans-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: -
Correct Ans-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? - Correct Ans-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.? - Correct Ans-
iatrogenic

Relating to the genital and urinary organs? - Correct Ans-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? - Correct Ans-
genetic predisposition

(not autoimmune)

A client with inflammatory bowel disease is receiving total parenteral nutrition (TPN) via
an infusion pump. What is most important for the nurse to do when administering TPN?
- Correct Ans-change the TPN solution bad every 24 hours

A dehydrated infant with a several-day history of vomiting is admitted to the pediatric
unit with the diagnosis of gastroenteritis. The nurse plans to monitor the infant's
response to parenteral therapy. What is the best indicator of rehydration? - Correct Ans-
Increased weight

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