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 A
Explanation
A. For effective breastfeeding, the baby should latch onto not just the nipple but also a significant portion of the areola and some breast tissue beyond it. This helps ensure that the baby gets a good latch, which promotes better milk transfer and reduces nipple pain for the mother.
B. While babies have some instinctual feeding behaviors, a proper latch typically requires guidance and assistance from the mother or nurse. Newborns often need help to achieve a deep latch that includes both the nipple and areola. Relying solely on the baby's instinct may lead to an ineffective latch and potential issues with breastfeeding.
C. While it's important for the baby to take some of the areola into their mouth, for the best latch, the baby should take in a larger portion of the areola and breast tissue. Simply placing the nipple and some of the areola may not be sufficient for a deep and effective latch.
D. Although newborns have small mouths, a proper latch should still involve the nipple and a good portion of the areola. Assuming that the baby will only take part of the nipple can lead to improper latching and potential breastfeeding difficulties.
Correct Answer is C
Explanation
A. The client may have difficulty voiding despite being taken to the bathroom, especially if there is an underlying issue such as urinary retention or an obstruction. Therefore, this step is usually taken after assessing the situation further.
B. Inserting a straight catheter is an invasive procedure that should not be the initial action. It is typically done after other non-invasive measures have been taken to evaluate the reason for the lack of voiding. Straight catheterization can be considered if other methods do not resolve the issue or if there is a clear indication of urinary retention that needs immediate intervention.
C. Performing a bladder scan is the appropriate first step. A bladder scan, or portable ultrasound, helps assess the amount of urine in the bladder and determines if the client is retaining urine. This non- invasive procedure can provide valuable information about the presence of urinary retention, which guides further intervention.
D. Increasing fluid intake might be appropriate if the client is dehydrated or has not been drinking enough fluids. However, this step is not the first action to take if the client has not voided for 8 hours. The priority is to determine if there is a physiological issue, such as urinary retention, before increasing fluids.
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