The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing.
The nurse would correctly document this type of incontinence as which of the following?

Functional.

Reflex.

Stress.

Urge.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Functional incontinence occurs when an individual cannot reach the bathroom in time due to physical or cognitive limitations. It is not related to stress or pressure on the bladder but rather to external factors that impede timely access to toileting facilities.

Choice B rationale

Reflex incontinence is characterized by involuntary loss of urine due to a lack of signal awareness or detrusor muscle overactivity. It is typically associated with neurological conditions such as spinal cord injuries or multiple sclerosis. This type of incontinence does not involve stress-related triggers like coughing or sneezing.

Choice C rationale

Stress incontinence involves the involuntary leakage of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or physical exertion. This type of incontinence is commonly seen in women, particularly after childbirth or during menopause, due to weakened pelvic floor muscles or sphincter dysfunction.

Choice D rationale

Urge incontinence is characterized by a sudden and intense urge to urinate, often resulting in involuntary urine leakage before reaching the bathroom. It is typically caused by overactive bladder muscles or nerve signals and is not specifically triggered by actions like coughing or sneezing.

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Correct Answer is A

Explanation

Choice A rationale

Pallor refers to the pale appearance of the skin due to decreased blood flow or decreased hemoglobin levels. It is often seen in conditions such as anemia, where there is a reduced number of red blood cells or hemoglobin, leading to a lack of the red-pink tones normally present in healthy skin.

Choice B rationale

Cyanosis refers to a bluish discoloration of the skin and mucous membranes due to inadequate oxygenation of the blood. It is often seen in respiratory or cardiovascular conditions where there is a decrease in oxygen levels. Cyanosis does not describe the absence of red-pink tones from decreased hemoglobin.

Choice C rationale

Jaundice refers to a yellow discoloration of the skin and eyes due to elevated levels of bilirubin in the blood. It is often seen in liver conditions or hemolysis. Jaundice is not related to decreased hemoglobin levels or the absence of red-pink tones in the skin.

Choice D rationale

Erythema refers to redness of the skin caused by increased blood flow to the capillaries in the dermis. It is often associated with inflammation, infection, or skin irritation. Erythema indicates increased blood flow, not decreased hemoglobin levels.

A. 2nd intercostal space. B. 3rd intercostal space. C. 2nd rib. D. 4th intercostal space.

Correct Answer is A

Explanation

Choice A rationale

The Angle of Louis, also known as the sternal angle, is located at the level of the 2nd intercostal space. It is a significant landmark in clinical examinations because it is used to locate important areas of the chest, such as the aortic and pulmonic areas, for auscultation.

Choice B rationale

The 3rd intercostal space is not the correct location for the Angle of Louis. The sternal angle is found at the level of the 2nd intercostal space, not the 3rd. Therefore, this option is incorrect.

Choice C rationale

The 2nd rib attaches at the level of the Angle of Louis. The sternal angle is an anatomical landmark where the manubrium and the body of the sternum meet, and it corresponds with the attachment of the 2nd rib.

Choice D rationale

The 4th intercostal space is not the correct location for the Angle of Louis. The sternal angle is located at the 2nd intercostal space, not the 4th. Therefore, this option is incorrect. .

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The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing.The nurse would correctly document this type of incontinence as which of the following?

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Naxlex Comprehensive Predictor Exams

Skin color that lacks the red-pink tones from decreased hemoglobin in blood is best described as:

Correct Answer is A

Explanation

During cardiac examination of a client, the nurse was demonstrating to the student nurse where to locate the Angle of Louis to listen to the Aortic and Pulmonic area on the chest.The nurse should locate the Angle of Louis at the level of what rib?

Correct Answer is A

Explanation

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The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing.
The nurse would correctly document this type of incontinence as which of the following?