Question 1

The provider is evaluating a patient for potential causes of urinary incontinence and performs a postvoid residual (PVR) test which yields 30 mL of urine. What is the interpretation of this result?&#10;A) The patient may have overflow incontinence.&#10;B) The patient probably has a urinary tract infection (UTI).&#10;C) This is a normal result.&#10;D) This represents incomplete emptying.

Accepted Answer

This is a normal result. A postvoid residual (PVR) volume of less than 50 mL indicates that the bladder is emptying well, which is considered normal.

Question 2

The provider is counseling a patient who has stress incontinence about ways to minimize accidents. What will the provider suggest initially?&#10;A) Increasing fluid intake to dilute the urine&#10;B) Referral to a physical therapist&#10;C) Taking pseudoephedrine daily&#10;D) Voiding every 2 hours during the day

Accepted Answer

Voiding every 2 hours during the day can help to prevent the bladder from becoming too full and reduce the likelihood of accidents. Increasing fluid intake can actually worsen stress incontinence by increasing the amount of urine in the bladder. Referral to a physical therapist may be helpful for more long-term management, but is not an initial suggestion. Taking pseudoephedrine may have side effects and is not a first-line treatment for stress incontinence.

Question 3

The daughter of an elderly confused patient reports that her parent is having urinary incontinence several times each day. What will the provider do initially?&#10;A) Obtain a urine sample for urinalysis (UA) and possible culture&#10;B) Order serum creatinine and blood urea nitrogen tests&#10;C) Perform a bladder scan to determine distention and retention&#10;D) Tell the daughter that this is expected given her mother's age and confusion

Accepted Answer

Urinary incontinence in an elderly patient with confusion may be an indication of a urinary tract infection (UTI). Obtaining a urine sample for urinalysis and possible culture can help diagnose and treat the infection.

Deck 127: Incontinence