Question 1

The patient who has been diagnosed with stress incontinence should be instructed by the nurse to:

Accepted Answer

Fluids such as tea,coffee,and cola have a diuretic effect and should be avoided.

Question 2

A male patient with urinary incontinence has been using an external (condom)catheter.The nurse is assessing the patient's technique of applying the device.The nurse should give the patient further instructions if he:

Accepted Answer

Encircling the penis with tape can restrict circulation and cause damage to the tissue.

Question 3

The patient tells the nurse that his bowel movements normally occur every morning after breakfast.The nurse understands that this is due to:

Accepted Answer

When food enters the stomach,it stimulates activity throughout the digestive tract and causes the movement of fecal mass into the rectum.

Question 4

The patient who has urinary incontinence is at risk for urinary tract infection and urinary calculi.The nurse should teach the patient and family that the best way to prevent these complications is to:

Accepted Answer

The risk of urinary tract infection and calculi can be reduced by having the patient empty the bladder as scheduled and providing adequate fluids.

Question 5

The home health nurse is performing an evaluation of the home of an older adult patient to assess for any safety issues.The nurse recognizes that an environmental factor that could lead to functional incontinence would be:

Accepted Answer

Functional incontinence is the term used when a person voids inappropriately because of an inability to get to the toilet or manage the mechanics of toileting.The patient's room should be located close to the bathroom.

Question 6

When the nurse is teaching the patient about managing fecal overflow incontinence,she should be sure that the patient understands that one of the most essential factors is:

Accepted Answer

Initially,the colon needs to be cleAnswered,and then regular evacuation is essential.

Question 7

Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:

Accepted Answer

Patients who have diabetes may develop neurologic problems that affect the bladder and are uncontrolled; they may produce large volumes of urine.

Question 8

The patient who is having problems with fecal incontinence may benefit from a change in his diet.The nurse should encourage the patient to include:

Accepted Answer

Foods that thicken the stool,such as potatoes,bread,bananas,rice,cheese,yogurt,oatmeal,oat bran,boiled milk,and pasta,should be encouraged.

Question 9

The patient diagnosed with anorectal incontinence should be taught by the nurse to:

Accepted Answer

Anorectal incontinence is associated with nerve damage that causes the muscles of the pelvic floor to be weak.Pelvic muscle exercises can help strengthen these muscles.The other choices would cause the incontinence to worsen.

Question 10

The nurse has just received a patient who had a cystoscopy from the postanesthesia recovery unit.The nurse notices that the patient's urine is pink-tinged.The nurse's first action should be to:

Accepted Answer

Pink-tinged urine is normal at first.Encouraging fluids will help flush the patient's bladder,and then the nurse should document both the assessment and implementation.

Question 11

The nurse is asked to instruct the patient on performing Kegel exercises.The patient should be instructed to contract the muscles he or she would use to stop the flow of urine.The proper technique is to:

Accepted Answer

The patient should hold the contraction for 10 seconds and then relax for 10 seconds.The goal is to work up to 10 repetitions,three or four times each day.

Question 12

A patient being assessed by the physician states,"I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?

Accepted Answer

Stress incontinence is the involuntary loss of small amounts of urine during physical activity that increases abdominal pressure,such as coughing,laughing,sneezing,and lifting.

Question 13

The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

Accepted Answer

Urodynamic procedures assess the neuromuscular function of the lower urinary tract.

Question 14

The patient,talking to the home health nurse about urinary incontinence,gives the nurse a list of the current medications.The nurse recognizes that the medication that could be contributing to the patient's urinary incontinence is:

Accepted Answer

Valium is a sedative that can increase the incidence of incontinency of urine.

Question 15

The nurse is instructing the patient on the procedure for a clean-catch urine specimen.The patient has tried several times but is having difficulty understanding the instructions.The best action by the nurse would be to:

Accepted Answer

If the patient cannot cooperate with the clean-catch procedure,catheterization may be necessary.

Question 16

The patient who is scheduled for a postvoid residual (PVR)test should be instructed by the nurse to:

Accepted Answer

The nurse must catheterize the patient immediately after voiding and measure the amount of urine.

Question 17

The patient with a spinal cord injury has recently begun using reflex training to empty his bladder.The nurse is doing a catheterization to check for residual volume.The nurse understands that the reflex training is effective if the residual volume is less than: (in milliliters)

Accepted Answer

Ideally,the residual volume will be less than 100 ml.

Question 18

The patient who uses a pessary to help control the incontinence is given instruction for its care,which should include:

Accepted Answer

A pessary is a device that is inserted into the vagina to hold the pelvic orgAnswer in place.The device must be removed periodically for cleaning and replaced as needed.

Question 19

The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:

Accepted Answer

Tarry is used to describe stools that are shiny,sticky,and black,which is usually an indication of blood in the stool.

Question 20

Bladder training instructions are being given to a patient who has a history of urinary incontinence.The initial instructions the nurse should give the patient are to:

Accepted Answer

Bladder training uses scheduled voiding; the patient is encouraged to delay voiding and voids only every 2 to 3 hours while awake.

Quiz 23: Incontinence