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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. H2RAs are not typically associated with causing or alleviating diarrhea. Their primary function is to reduce gastric acid secretion, which is not directly related to diarrhea. Therefore, cessation of diarrhea is not an indicator of the therapeutic effect of an H2RA.
B. Heartburn is a common symptom associated with excess stomach acid, often due to conditions like GERD. H2RAs work by decreasing the amount of acid produced in the stomach, which helps relieve heartburn. Therefore, relief of heartburn is a direct indication that the H2RA is achieving its therapeutic effect.
C. Constipation is not a common effect of H2RAs; instead, it is often more related to other types of medications or dietary issues. Since H2RAs are designed to reduce stomach acid and not to affect bowel movements, the absence of constipation is not a relevant outcome for assessing the effectiveness of an H2RA.
D. Flatus, or gas, is not directly affected by H2RAs. The primary purpose of H2RAs is to manage acid- related conditions, and while gastrointestinal symptoms might be related, passage of flatus is not a specific indicator of the effectiveness of an H2RA.

A. "I will keep spare crutch tips handy." B. "I will bear the weight of my body on my hands." C. "I will inspect my crutches every day for signs of wear." D. "I have a set of my brother's crutches in my basement I can also use."

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.

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A patient presents with urinary incontinence. Which of the following expected findings would the nurse most likely assess?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

Explanation

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