A nurse is reinforcing teaching with a client who has a cystocele. Which of the following statements by the client indicates an understanding of the teaching?
“I will decrease my fluid intake to reduce incontinence."
“I will experience less urinary incontinence if I use artificial sweeteners”
“I will practice perineal exercises to decrease urinary leakage”
“I should use a perineal spray to reduce odor from urinary leakage”
The Correct Answer is C
A. “I will decrease my fluid intake to reduce incontinence.”: Reducing fluid intake can lead to concentrated urine and bladder irritation, which may worsen urinary urgency and incontinence. Adequate hydration is encouraged rather than fluid restriction for managing cystocele symptoms.
B. “I will experience less urinary incontinence if I use artificial sweeteners.”: Artificial sweeteners can irritate the bladder and increase urinary frequency or urgency. Their use may exacerbate urinary incontinence rather than improve symptoms.
C. “I will practice perineal exercises to decrease urinary leakage.”: Perineal (Kegel) exercises strengthen the pelvic floor muscles that support the bladder and urethra. Regular practice can improve muscle tone and reduce urinary leakage associated with a cystocele.
D. “I should use a perineal spray to reduce odor from urinary leakage.”: Perineal sprays may mask odor but do not address the underlying pelvic floor weakness. Some products can also irritate the perineal area, potentially worsening discomfort or skin breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Submit an incident report to the risk manager: While reporting breaches of confidentiality may be necessary in some cases, the immediate priority is to stop the inappropriate discussion to prevent further violations. Filing an incident report can follow after addressing the situation.
B. Tell the APs to stop the conversation: The nurse should intervene immediately to maintain client confidentiality and comply with HIPAA regulations. Directly instructing the APs to stop the conversation prevents further exposure of private health information.
C. Document the event in the client's progress notes: Documentation in the client’s record is not appropriate for reporting staff breaches of confidentiality. Progress notes are for client care details, not staff behavior.
D. Inform the client of the APs actions: Informing the client is not the first step and could cause unnecessary distress. The priority is to address the staff behavior and maintain confidentiality.
Correct Answer is A
Explanation
A. Social worker: Social workers can assist clients who have difficulty with transportation by coordinating community resources, arranging rides, or providing access to transportation services. This ensures the client can safely attend follow-up appointments without compromising independence or safety.
B. Primary care provider: The primary care provider manages overall health and follow-up care but does not typically coordinate transportation services for clients.
C. Physical therapist: Physical therapists focus on improving mobility, strength, and balance, which may indirectly support functional independence, but they do not coordinate transportation.
D. Occupational therapist: Occupational therapists help clients maintain or regain functional skills for daily activities, including driving skills, but arranging transportation to appointments falls under social work support rather than therapy interventions.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
