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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. "I should take my supplement with an antacid to prevent an upset stomach": This is incorrect as antacids can interfere with the absorption of iron. Iron supplements should be taken on an empty stomach for better absorption.
B. "I should increase my fiber intake while taking this supplement": This is correct as increasing fiber can help manage constipation, a common side effect of iron supplementation.
C. "I should drink my liquid iron supplement undiluted": This is incorrect. Liquid iron supplements should be diluted to prevent staining of teeth and to improve tolerance.
D. "I should notify my doctor if my stools turn black": This is incorrect because black stools are a common side effect of iron supplementation and are generally not a cause for concern.
Correct Answer is C
Explanation
A. Intermittent abdominal pain: While abdominal pain may occur, it is not specifically related to total parenteral nutrition (TPN) and burn care.
B. Decreased calcium levels: Decreased calcium levels are not the primary concern with TPN. Calcium levels should be monitored, but other issues are more directly related to TPN.
C. Increased serum glucose levels: This is correct as TPN often contains high levels of glucose, which can lead to hyperglycemia. Monitoring serum glucose levels is crucial in managing TPN to avoid complications.
D. Absent bowel sounds: Bowel sounds are not directly affected by TPN. However, monitoring for gastrointestinal function is important in the overall assessment of the client.
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