The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

The client will perform four to five isometric squeezes for 5 to 10 seconds.

The client will empty her bladder completely each time she voids.

The client will improve her incontinence within one month.

The client will stop the ﬂow of urine when voiding.

Answer and Explanation

The Correct Answer is A

Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing, sneezing, or exercising. It is often caused by weakness of the pelvic ﬂoor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes, also known as Kegel exercises, can help strengthen the pelvic ﬂoor muscles and improve sphincter competence. This can help reduce or prevent episodes of incontinence.

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Correct Answer is C

Explanation

To focus on aﬀective learning with this client, the nurse should explore the client's feelings about dietary modifications. Aﬀective learning involves the development of values, attitudes, and emotions. By exploring the client's feelings about dietary modifications, the nurse can help the client understand and accept the changes that are necessary for managing their condition.

A. Self-Care Deficit related to weakness and debilitation B. Powerlessness related to chronic disease state C. Altered Nutrition, Less Than Body Requirements related to the inability to absorb nutrients D. Risk for Injury related to unsteady gait

Correct Answer is C

Explanation

According to Maslow's hierarchy of needs model, physiological needs such as food, water, and shelter are the most basic and fundamental needs that must be met before higher-level needs can be addressed. In this scenario, the nursing diagnosis of Altered Nutrition, Less Than Body Requirements related to inability to absorb nutrients addresses a fundamental physiological need and should be identified as the highest priority for this client. The other nursing diagnoses listed address important needs related to safety, self-care, and psychological well-being, but these needs are considered higher-level needs according to Maslow's hierarchy and should be addressed after the client's basic physiological needs have been met.

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The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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