A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Wear an adult diaper.

Avoid voiding frequently

Perform pelvic floor exercises

Drink cranberry juice.

Answer and Explanation

The Correct Answer is C

A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.

B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.

C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.

D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.

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Correct Answer is A

Explanation

A. Urine output of 175 mL in the past 8 hours. Urine output <30 mL/hr (less than 240 mL in 8 hours) indicates oliguria, a sign of worsening renal function or acute kidney injury (AKI).

B. Urine is cloudy after sitting in the urinal for 6 hours. Urine naturally becomes cloudy when it sits due to precipitation of solutes.

C. First-voided urine in the morning has a strong odor. Morning urine is more concentrated, causing a strong odor.

D. Urine output of 2,200 mL in the past 24 hours. Not necessarily concerning unless the client has polyuria (>3L/day), which can indicate diabetes or diuretic effects, but 2,200 mL is still within the normal range.

A. Urine output of 80 mL/hr B. Specific gravity of 1.036 C. pH of 6.4 D. Protein level of 2 mg/100 mL

Correct Answer is B

Explanation

A. Urine output of 80 mL/hr: Normal urine output is 30–50 mL/hr. A urine output of 80 mL/hr is within an acceptable range and does not indicate a problem.

B. Specific gravity of 1.036: Normal urine specific gravity ranges from 1.005 to 1.030. A level of 1.036 indicates dehydration or concentrated urine, which requires further assessment.

C. pH of 6.4: Normal urine pH ranges from 4.5 to 8.0, with an average around 6.0. A pH of 6.4 is within normal limits and does not require follow-up.

D. Protein level of 2 mg/100 mL: Normal urine protein is less than 8 mg/100 mL, so 2 mg/100 mL is within normal limits and does not indicate a concern.

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A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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Correct Answer is B

Explanation

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