An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?

Functional urinary incontinence

Urinary retention

Urge urinary incontinence

Impaired skin integrity

Answer and Explanation

The Correct Answer is C

A. Functional urinary incontinence: This occurs when mobility or cognitive impairments prevent the client from reaching the toilet in time. Since this client has a strong urge to void, functional incontinence is not the best fit.

B. Urinary retention: Urinary retention is the inability to empty the bladder completely, often leading to overflow incontinence. However, this client experiences urgency and leakage, not retention.

C. Urge urinary incontinence: This occurs when a strong, sudden urge to urinate leads to involuntary leakage before reaching the toilet. It is often due to overactive bladder or neurological issues.

D. Impaired skin integrity: While prolonged incontinence can lead to skin breakdown, the primary diagnosis should address the cause of incontinence rather than a secondary complication.

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Correct Answer is B

Explanation

A. 28 units: This would be an incorrect dosage. The correct total is 6 + 10 = 14 units.

B. 14 units: This number does not match the prescribed total dosage.

C. 42 units: This is an excessive dose and not the sum of the prescribed amounts.

D. 16 units: The total number of insulin units is 6 units of regular insulin + 10 units of NPH insulin = 16 units.

A. Sodium B. Potassium C. Calcium D. Albumin

Correct Answer is D

Explanation

A. Sodium: Measures fluid balance, not protein status.

B. Potassium: Related to muscle function, heart rhythm, and renal function, not protein synthesis.

C. Calcium: Bone and nerve function, not a protein marker.

D. Albumin: Best indicator of protein status because it reflects protein intake and synthesis. Low levels can indicate malnutrition, liver disease, or chronic illness.

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An 85-year-old client is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the client's plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has diabetes and a new prescription for 6 units of regular insulin and 10 units of NPH insulin subcutaneously at breakfast daily. What is the total number of units of insulin that the nurse should prepare in the insulin syringe?

Correct Answer is B

Explanation

A nurse is caring for a client who is well-hydrated and who demonstrates no evidence of anemia. Which of the following laboratory values gives the nurse an assessment of the adequacy of the client's protein uptake and synthesis?

Correct Answer is D

Explanation

A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions can cause incontinence in the older adult client?

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

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