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 C
Explanation
A. Documenting suspicions in the client's medical record: While accurate documentation of objective findings is important, simply recording suspicions without following mandated reporting procedures does not fulfill the nurse’s legal responsibility. Documentation supports care but is not the primary legal action.
B. Notifying the caregiver of the findings: Informing the caregiver may be inappropriate and could place the client at further risk, especially if the caregiver is the suspected abuser. Legal obligations prioritize protecting the client over notifying the caregiver.
C. Reporting findings to social services: Nurses are mandated reporters of suspected elder abuse or neglect. Reporting objective findings of malnutrition and unexplained bruising to social services ensures that the client’s safety is addressed and fulfills the nurse’s legal responsibility.
D. Including findings during hand-off report: Communicating relevant findings during hand-off is part of good nursing practice, but it does not meet the legal requirement to report suspected abuse to appropriate authorities.
Correct Answer is D
Explanation
A. Explain medical terminology using basic, one-syllable words: While simplifying language is important, limiting explanations to only one-syllable words may overly restrict clarity and precision. Key terms can be explained in plain language without compromising accuracy.
B. Present information from complex to simple: Effective teaching typically progresses from simple concepts to more complex ones. Presenting information in reverse can confuse readers and reduce comprehension, especially for health education materials.
C. Write the information at an 8th-grade reading level: Health education materials are most effective when written at a 5th- to 6th-grade reading level to ensure accessibility to a broad audience, including those with limited health literacy. Writing at an 8th-grade level may be too advanced for some readers.
D. Use a 12-point font size: Using a 12-point font enhances readability, especially for older adults or individuals with visual impairments. Clear, legible text supports comprehension and encourages engagement with the educational material.
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