A patient presents with urinary incontinence. Which of the following expected findings would the nurse most likely assess?
Urinary urgency without frequency
Loss of urine when laughing, coughing, sneezing
Urinary hesitancy
Hematuria
The Correct Answer is B
A. Urinary urgency refers to a sudden, compelling need to urinate, which may or may not be accompanied by frequency (i.e., the need to urinate often). Urgency alone does not necessarily indicate urinary incontinence but rather may suggest conditions like overactive bladder or urge incontinence. This finding is not the most characteristic sign of urinary incontinence but rather a symptom of specific types of incontinence or bladder conditions.
B. Loss of urine when laughing, coughing, or sneezing is indicative of stress urinary incontinence. This type of incontinence occurs when physical activities that increase abdominal pressure (such as coughing, sneezing, or laughing) lead to involuntary leakage of urine. It is a common and classic symptom of stress urinary incontinence.
C. Urinary hesitancy refers to difficulty starting the urine stream or a delay in beginning urination. This symptom is more commonly associated with obstructive urinary conditions or prostatic issues in males rather than incontinence. It does not typically characterize urinary incontinence, which is more related to involuntary leakage rather than difficulties initiating urination.
D. Hematuria is the presence of blood in the urine and can be a sign of various urological issues such as infections, stones, or tumors. It is not a typical finding associated with urinary incontinence, which involves involuntary leakage rather than the presence of blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Keeping spare crutch tips handy is a good practice. Crutch tips can wear out over time and need to be replaced to maintain stability and safety. Having spare tips ensures that the client can replace them as needed and avoid potential accidents or falls.
B. Bearing the weight of the body on the hands is an incorrect usage of crutches. The proper technique involves placing weight on the hands and forearms rather than the armpits. The weight should not be supported by the axillae (armpits) to prevent nerve damage and discomfort.
C. Inspecting crutches daily for signs of wear is a recommended practice. Regular inspection helps identify any issues with the crutches, such as worn tips or loose fittings, which could compromise their effectiveness and safety.
D. Using crutches from another person can be problematic. Crutches should be properly fitted to the user to ensure safety and effectiveness. Using crutches that are not adjusted to fit the client's height and needs can lead to improper use, discomfort, and increased risk of injury.
Correct Answer is D
Explanation
A. While staying hydrated is important for overall health and can help with urinary tract infections, the recommended fluid intake for clients on ciprofloxacin is not specifically 1,000 milliliters. The more general advice is to drink plenty of fluids to help flush out bacteria from the urinary tract. The nurse should emphasize the importance of hydration but not specify a particular amount like 1,000 milliliters unless otherwise directed.
B. Ciprofloxacin should not be taken with antacids that contain calcium, magnesium, or aluminum because these can interfere with the absorption of the medication, reducing its effectiveness. Antacids should be taken at least 2 hours before or 6 hours after taking ciprofloxacin to avoid interactions.
C. Ciprofloxacin does not typically cause urine to turn dark orange. This side effect is more commonly associated with other medications, such as rifampin. The nurse should not expect ciprofloxacin to change the color of urine and should clarify any specific effects related to the medication.
D. Ciprofloxacin and other fluoroquinolones are associated with an increased risk of tendonitis and tendon rupture, particularly in the Achilles tendon. The nurse should instruct the client to report any new or worsening tendon pain, swelling, or discomfort immediately.
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