A nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. The nurse recognizes this is an expected finding for which of the following types of incontinence?
Stress incontinence
Urge incontinence
Overflow incontinence
Reflex incontinence
The Correct Answer is A
A. Stress incontinence
Stress incontinence is the involuntary loss of urine during activities that increase intra-abdominal pressure, such as sneezing, coughing, laughing, or lifting heavy objects. In stress incontinence, the pelvic floor muscles are weakened, leading to inadequate support of the bladder and urethra. This results in leakage of urine during moments of increased pressure on the bladder.
B. Urge incontinence
Urge incontinence involves a strong and sudden urge to urinate, leading to involuntary urine loss. It is often associated with an overactive bladder and may not be related to increased abdominal pressure.
C. Overflow incontinence
Overflow incontinence occurs when the bladder is unable to empty completely, leading to constant dribbling of urine. It is often associated with conditions that obstruct urine flow, such as an enlarged prostate in men.
D. Reflex incontinence
Reflex incontinence is characterized by the involuntary loss of urine due to a reflex arc that bypasses normal control mechanisms. It is often associated with neurological conditions that affect bladder control.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Cheese omelet
A cheese omelet may be acceptable for a Hindu diet, as it doesn't contain beef or pork. However, it's important to consider the individual's specific dietary preferences and any other restrictions they may follow.
B. Hamburger
A hamburger typically contains beef, which may not align with Hindu dietary laws. Hindus, in general, avoid beef, as the cow is considered a sacred animal in Hinduism.
C. Bologna sandwich
Similar to the hamburger, a bologna sandwich often contains pork products. Pork is generally avoided by individuals adhering strictly to Hindu dietary laws.
D. Steamed vegetables
Steamed vegetables are a safe option for a Hindu diet as they are plant-based and do not contain beef or pork. They align with the dietary preferences of many Hindus.
Correct Answer is A
Explanation
A. “I will call for pain medication before the previous dose wears off.”
The statement "I will call for pain medication before the previous dose wears off" indicates an understanding of proactive pain management. In postoperative pain control, it is generally more effective to stay ahead of the pain by taking pain medication on a scheduled basis rather than waiting until the pain becomes severe. This approach helps to maintain a more consistent level of pain relief.
B. “I will call for pain medication as my pain becomes intolerable.”
Waiting until the pain becomes intolerable may result in suboptimal pain control. It's more effective to take pain medication before reaching a point of intolerable pain.
C. “I will wait for you to evaluate my pain before asking for more.”
Waiting for the nurse to evaluate pain before requesting more medication may result in delays in pain relief. Pain management often involves collaboration between healthcare providers and patients, and timely communication about pain levels is essential.
D. “I will ask for less medication to avoid addiction.”
This statement reflects a concern about addiction but may lead to inadequate pain relief. Pain management should prioritize effective pain control while balancing the risks and benefits of medications. The goal is to provide sufficient pain relief without compromising the client's well-being.
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