When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?
Stress incontinence
Obstructive incontinence
Overflow incontinence
Urge incontinence
The Correct Answer is A
A. Stress incontinence: This occurs when urine leaks due to increased abdominal pressure from activities like coughing or laughing, indicating a weakness in the pelvic floor muscles.
B. Obstructive incontinence: This is not a recognized type of urinary incontinence; it may refer to urinary obstruction issues, which are different from stress incontinence.
C. Overflow incontinence: This involves leakage due to an overfilled bladder and is not typically related to activities that increase abdominal pressure.
D. Urge incontinence: This involves a sudden, intense urge to urinate and may lead to involuntary leakage, but it is not specifically linked to coughing or laughing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Pancreatic cancer: Typically associated with abdominal pain, weight loss, and jaundice rather than a burning sensation in the esophagus.
B. Acute pancreatitis: Causes severe abdominal pain, nausea, and vomiting, but not usually a burning sensation in the esophagus.
C. Acid reflux: Also known as gastroesophageal reflux disease (GERD), this condition commonly causes a burning sensation in the esophagus after eating.
D. Gastric ulcer: Generally causes pain in the upper abdomen and may be associated with indigestion, but not specifically a burning sensation in the esophagus.
Correct Answer is B
Explanation
A. Auscultating the area may not provide accurate information about the pulse if it is not palpable, though it can be part of the assessment if Doppler is unavailable.
B. Using Doppler ultrasonography is the most appropriate next step to accurately assess the pulse if it is not palpable, especially in older adults where pulses may be difficult to detect.
C. Asking another nurse to assess the pulse may not address the underlying issue of why the pulse is not palpable and does not provide additional information.
D. Documenting the absence of the dorsalis pedis pulse without further investigation could be premature, as Doppler ultrasonography should be used to confirm its absence.
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