An occupational nurse at a candy factory is assisting in developing a plan of care for clients who are experiencing incontinence that affects their job performance and overall quality of life. Which of the following client statements would indicate an understanding of a contributing factor to their incontinence at work?

"I probably have problems with incontinence due to exposure of some bacteria while packaging candy on the line."

"I probably have problems with incontinence due to our strict break policy that they monitor very closely."

"I probably have problems with incontinence because the water at work is disgusting and I don't drink enough."

"I probably have problems with incontinence because I am constantly exposed to pesticides at work."

Answer and Explanation

The Correct Answer is B

A. I probably have problems with incontinence due to exposure to some bacteria while packaging candy on the line." While exposure to bacteria can lead to urinary tract infections, which might contribute to incontinence, this statement might not directly correlate to incontinence caused by job-related factors. It could be a contributing factor but might not solely explain work-related incontinence.

B. Limited or infrequent bathroom breaks can lead to urinary urgency and incontinence, especially for individuals who already have underlying risk factors.Strict monitoring of breaks can create anxiety and further contribute to the urgency and potential loss of bladder controL.

C. "I probably have problems with incontinence because the water at work is disgusting and I don't drink enough. “Dehydration: Inadequate fluid intake can contribute to urinary problems, but the client specifically mentions a strict break policy, suggesting limited opportunities for toileting, which is a more direct contributing factor.

D. "I probably have problems with incontinence because I am constantly exposed to pesticides at work." Exposure to pesticides might lead to various health issues, but it's less directly associated with urinary incontinence unless there's evidence suggesting a specific impact on bladder function.

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Free Nursing Study Resources

Correct Answer is ["B","C","E","F"]

Explanation

B. Tamsulosin use and adverse effects

Rationale: Tamsulosin is an alpha-1 blocker commonly prescribed to alleviate BPH symptoms. Education should include how to take the medication, its purpose, and potential side effects, such as dizziness, headache, or orthostatic hypotension.

C. Urinary tract infection manifestations

Rationale: BPH can increase the risk of urinary tract infections (UTIs) due to urinary retention. The client should be aware of symptoms like burning during urination, frequent urination, or cloudy urine to seek timely medical attention.

E. Signs of worsening BPH

Rationale: It's essential for clients to recognize signs that their BPH is worsening, such as severe urinary retention, acute urinary obstruction, or significant changes in urinary patterns. This helps in early intervention and prevents complications.

F. Lifestyle modifications for managing symptoms

Rationale: Clients should be educated on lifestyle changes that can help manage BPH symptoms, such as avoiding caffeine and alcohol, reducing fluid intake before bedtime, and practicing pelvic floor exercises.

Note:

A. Increasing exercise

Rationale: While exercise is beneficial for overall health, it is not specifically targeted for managing BPH symptoms. It can be part of a healthy lifestyle but isn't a primary focus of BPH-specific education.

D. A diet low in calcium oxalate

Rationale: A diet low in calcium oxalate is typically recommended for individuals with kidney stones, not specifically for BPH management.

A. Platelet count B. White blood cell count (WBC) C. Prothrombin time (PT) D. Activated partial thromboplastin time (aPTT)

Correct Answer is C

No explanation

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client newly diagnosed with benign prostatic hypertrophy (BPH). Which topics are important to include in the education about this disease? (Select all that apply.)

Correct Answer is ["B","C","E","F"]

Explanation

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Correct Answer is C

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