A nurse is caring for an older adult client who is experiencing urinary incontinence. Which of the following client statements indicates the client has overflow incontinence?

"My urine comes out whenever I sneeze."

"It seems like my bladder empties without warning."

"I have urine incontinence whenever I take a diuretic."

"My urine seems to dribble out frequently."

Answer and Explanation

The Correct Answer is D

A. "My urine comes out whenever I sneeze": This indicates stress incontinence, where urine leakage occurs with physical activities that increase abdominal pressure.
B. "It seems like my bladder empties without warning": This suggests urge incontinence, characterized by a sudden and intense urge to urinate.
C. "I have urine incontinence whenever I take a diuretic": This statement is more related to the effects of diuretics rather than a specific type of urinary incontinence.
D. "My urine seems to dribble out frequently": This is characteristic of overflow incontinence, where the bladder becomes overfilled and urine dribbles out due to inadequate emptying.

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Correct Answer is A

Explanation

A. Participate in reminiscence therapy with the client: This is correct as reminiscence therapy, which involves discussing past experiences and memories, can help improve mood and cognitive function in clients with Alzheimer's disease.
B. Alternate the client's daily routine: Consistency is important for clients with Alzheimer's disease to reduce confusion and anxiety. Alternating the routine can be disorienting.
C. Keep the lights dimmed: Keeping the lights dimmed can contribute to confusion and disorientation. Adequate lighting is essential for safety and to help the client maintain a clear sense of time and space.
D. Raise the four side rails on the client's bed: Raising all four side rails can be considered a form of restraint and is not recommended. It can increase the risk of injury and does not address the client's needs appropriately.

A. The medication reduces the rate at which the kidneys filter waste. B. The medication decreases the sensitivity of the urethral sphincter. C. The medication prevents the bladder muscles from involuntarily contracting. D. The medication blocks the nervous system impulse to produce urine.

Correct Answer is C

Explanation

A. The medication reduces the rate at which the kidneys filter waste: This is incorrect as oxybutynin does not affect kidney function or the rate at which kidneys filter waste.
B. The medication decreases the sensitivity of the urethral sphincter: This is incorrect because oxybutynin primarily affects bladder muscle contraction, not the sensitivity of the urethral sphincter.
C. The medication prevents the bladder muscles from involuntarily contracting: This is correct as oxybutynin is an anticholinergic medication that reduces involuntary bladder contractions, leading to less frequent urination.
D. The medication blocks the nervous system impulse to produce urine: This is incorrect because oxybutynin works by blocking the action of acetylcholine in the bladder, not by blocking impulses to produce urine.

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A nurse is caring for an older adult client who is experiencing urinary incontinence. Which of the following client statements indicates the client has overflow incontinence?

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Naxlex Comprehensive Predictor Exams

A nurse in a long-term care unit is assisting in the care of a client who has Alzheimer's disease. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse in a provider's office is talking with a client who takes oxybutynin. The client asks why he does not urinate as often. Which of the following information should the nurse include about the action of oxybutynin?

Correct Answer is C

Explanation

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