Question 1

The nurse is caring for a client who will be discharged with an indwelling catheter.The nurse has provided education to the client and family in regards to catheter care once the client is discharged.Which client or family action indicates a correct understanding of the information presented?

Accepted Answer

A) The client should take a shower rather than a tub bath because sitting in a tub allows bacteria to easily access the urinary tract. The drainage bag should be emptied regularly, not just once a day but at least three times a day. Hanging the drainage bag on the towel rod is too high. The drainage bag should be hung below the bladder. Adequate amounts of fluids should be consumed to help prevent sediments and infections.
B) The client should take a shower rather than a tub bath because sitting in a tub allows bacteria to easily access the urinary tract. The drainage bag should be emptied regularly, not just once a day but at least three times a day. Hanging the drainage bag on the towel rod is too high. The drainage bag should be hung below the bladder. Adequate amounts of fluids should be consumed to help prevent sediments and infections.
C) The client should take a shower rather than a tub bath because sitting in a tub allows bacteria to easily access the urinary tract. The drainage bag should be emptied regularly, not just once a day but at least three times a day. Hanging the drainage bag on the towel rod is too high. The drainage bag should be hung below the bladder. Adequate amounts of fluids should be consumed to help prevent sediments and infections.
D) The client should take a shower rather than a tub bath because sitting in a tub allows bacteria to easily access the urinary tract. The drainage bag should be emptied regularly, not just once a day but at least three times a day. Hanging the drainage bag on the towel rod is too high. The drainage bag should be hung below the bladder. Adequate amounts of fluids should be consumed to help prevent sediments and infections.

Question 2

The nurse is caring for a client with a history of chronic urinary tract infections.The nurse is planning care for this client based on the priority nursing diagnosis of urinary retention related to scaring.Based on this data,which prescription does the nurse anticipate from the healthcare provider?

Accepted Answer

A) The healthcare provider may order straight catheterization so the client can be taught to self-catheterize and manage the urinary retention at home. Antibiotic therapy is not indicated, as the client does not have an infection now. Anticholinergic medications can cause urinary retention. Bladder stones are not the problem; scarring is.
B) The healthcare provider may order straight catheterization so the client can be taught to self-catheterize and manage the urinary retention at home. Antibiotic therapy is not indicated, as the client does not have an infection now. Anticholinergic medications can cause urinary retention. Bladder stones are not the problem; scarring is.
C) The healthcare provider may order straight catheterization so the client can be taught to self-catheterize and manage the urinary retention at home. Antibiotic therapy is not indicated, as the client does not have an infection now. Anticholinergic medications can cause urinary retention. Bladder stones are not the problem; scarring is.
D) The healthcare provider may order straight catheterization so the client can be taught to self-catheterize and manage the urinary retention at home. Antibiotic therapy is not indicated, as the client does not have an infection now. Anticholinergic medications can cause urinary retention. Bladder stones are not the problem; scarring is.

Question 3

The nurse is providing care to a client who is diagnosed with benign prostatic hyperplasia (BPH).The client's primary concern is burning and difficulty when urinating.Based on this data,which nursing diagnosis is the priority for this client?

Accepted Answer

A) The client is experiencing burning and other difficulties during urination. The burning indicates the client is experiencing pain and would indicate a priority nursing diagnosis of acute pain. There is no evidence of fluid volume overload, fluid volume deficit, or knowledge deficit.
B) The client is experiencing burning and other difficulties during urination. The burning indicates the client is experiencing pain and would indicate a priority nursing diagnosis of acute pain. There is no evidence of fluid volume overload, fluid volume deficit, or knowledge deficit.
C) The client is experiencing burning and other difficulties during urination. The burning indicates the client is experiencing pain and would indicate a priority nursing diagnosis of acute pain. There is no evidence of fluid volume overload, fluid volume deficit, or knowledge deficit.
D) The client is experiencing burning and other difficulties during urination. The burning indicates the client is experiencing pain and would indicate a priority nursing diagnosis of acute pain. There is no evidence of fluid volume overload, fluid volume deficit, or knowledge deficit.

Question 4

The nurse is caring for a client with a urinary catheter.Which nursing diagnosis is a priority for this client?

Accepted Answer

A) The client who has a urinary catheter in place is at an increased risk for infection, which is the priority diagnosis. There is no indication that the client is experiencing chronic pain. While there is an increased risk for impaired skin integrity and a self-care deficit, these are not priorities for this client.
B) The client who has a urinary catheter in place is at an increased risk for infection, which is the priority diagnosis. There is no indication that the client is experiencing chronic pain. While there is an increased risk for impaired skin integrity and a self-care deficit, these are not priorities for this client.
C) The client who has a urinary catheter in place is at an increased risk for infection, which is the priority diagnosis. There is no indication that the client is experiencing chronic pain. While there is an increased risk for impaired skin integrity and a self-care deficit, these are not priorities for this client.
D) The client who has a urinary catheter in place is at an increased risk for infection, which is the priority diagnosis. There is no indication that the client is experiencing chronic pain. While there is an increased risk for impaired skin integrity and a self-care deficit, these are not priorities for this client.

Question 5

The charge nurse is observing a newly licensed nurse catheterize an older adult client admitted with an enlarged prostate.Which action by the newly licensed nurse requires intervention from the charge nurse?

Accepted Answer

A) Draining 800 mL before clamping might cause a vasovagal response, so the charge nurse would need to intervene. Using 2% lidocaine gel 10 mL injected into the male urethra reduces discomfort during catheterization and the risk of catheter-associated infection, and it promotes pelvic muscle relaxation. A coudé-tipped catheter is passed more easily in the older man with an enlarged prostate. Some clients experience a vasovagal response, becoming pale, sweaty, and hypotensive, if the bladder is rapidly drained. Draining urine in 500 mL increments and clamping the catheter for 5-10 minutes between increments may prevent this response.
B) Draining 800 mL before clamping might cause a vasovagal response, so the charge nurse would need to intervene. Using 2% lidocaine gel 10 mL injected into the male urethra reduces discomfort during catheterization and the risk of catheter-associated infection, and it promotes pelvic muscle relaxation. A coudé-tipped catheter is passed more easily in the older man with an enlarged prostate. Some clients experience a vasovagal response, becoming pale, sweaty, and hypotensive, if the bladder is rapidly drained. Draining urine in 500 mL increments and clamping the catheter for 5-10 minutes between increments may prevent this response.
C) Draining 800 mL before clamping might cause a vasovagal response, so the charge nurse would need to intervene. Using 2% lidocaine gel 10 mL injected into the male urethra reduces discomfort during catheterization and the risk of catheter-associated infection, and it promotes pelvic muscle relaxation. A coudé-tipped catheter is passed more easily in the older man with an enlarged prostate. Some clients experience a vasovagal response, becoming pale, sweaty, and hypotensive, if the bladder is rapidly drained. Draining urine in 500 mL increments and clamping the catheter for 5-10 minutes between increments may prevent this response.
D) Draining 800 mL before clamping might cause a vasovagal response, so the charge nurse would need to intervene. Using 2% lidocaine gel 10 mL injected into the male urethra reduces discomfort during catheterization and the risk of catheter-associated infection, and it promotes pelvic muscle relaxation. A coudé-tipped catheter is passed more easily in the older man with an enlarged prostate. Some clients experience a vasovagal response, becoming pale, sweaty, and hypotensive, if the bladder is rapidly drained. Draining urine in 500 mL increments and clamping the catheter for 5-10 minutes between increments may prevent this response.

Question 6

The nurse is attempting to place a urinary catheter for an older adult female client.The nurse is unable to visualize the client's urinary meatus.Which alternate position for catheterization may be appropriate for this client?

Accepted Answer

A) Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.
B) Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.
C) Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.
D) Because of estrogen-mediated changes in the perineal area of postmenopausal women, the urinary meatus may be very difficult to visualize. The side-lying position, lifting up the buttock, is an alternative that provides better visualization of the urinary meatus. The supine position, regardless of the leg position or height of the bed, would not increase the visualization of the urinary meatus because it is more distal from the changes in the perineal area.

Question 7

A client is diagnosed with benign prostatic hyperplasia (BPH).Which topics are appropriate for the nurse to include in the teaching session related to the client's condition? Select all that apply.

Accepted Answer

A) When conducting teaching for a client who is diagnosed with BPH the nurse will include information regarding prostate location and function, surgical approaches for treatment, and pharmacologic approaches for treatment. There is no specific diet for BPH. Permanent urinary catheterization is not an appropriate topic to include in the teaching session.
B) When conducting teaching for a client who is diagnosed with BPH the nurse will include information regarding prostate location and function, surgical approaches for treatment, and pharmacologic approaches for treatment. There is no specific diet for BPH. Permanent urinary catheterization is not an appropriate topic to include in the teaching session.
C) When conducting teaching for a client who is diagnosed with BPH the nurse will include information regarding prostate location and function, surgical approaches for treatment, and pharmacologic approaches for treatment. There is no specific diet for BPH. Permanent urinary catheterization is not an appropriate topic to include in the teaching session.
D) When conducting teaching for a client who is diagnosed with BPH the nurse will include information regarding prostate location and function, surgical approaches for treatment, and pharmacologic approaches for treatment. There is no specific diet for BPH. Permanent urinary catheterization is not an appropriate topic to include in the teaching session.
E) When conducting teaching for a client who is diagnosed with BPH the nurse will include information regarding prostate location and function, surgical approaches for treatment, and pharmacologic approaches for treatment. There is no specific diet for BPH. Permanent urinary catheterization is not an appropriate topic to include in the teaching session.

Question 8

The nurse conducts education for a client who is experiencing urinary incontinence.Which statement by the client indicates the need for further education?

Accepted Answer

A) Incontinence is not a normal result of aging. A disturbance of the bladder, relaxation of the pelvic muscles, and reduced urethral resistance are all potential factors in the development of incontinence.
B) Incontinence is not a normal result of aging. A disturbance of the bladder, relaxation of the pelvic muscles, and reduced urethral resistance are all potential factors in the development of incontinence.
C) Incontinence is not a normal result of aging. A disturbance of the bladder, relaxation of the pelvic muscles, and reduced urethral resistance are all potential factors in the development of incontinence.
D) Incontinence is not a normal result of aging. A disturbance of the bladder, relaxation of the pelvic muscles, and reduced urethral resistance are all potential factors in the development of incontinence.

Question 9

The nurse is providing care to a client who is diagnosed with mild benign prostatic hyperplasia (BPH)who is experiencing urinary retention.Which goal is the most appropriate for this client?

Accepted Answer

A) Avoiding over-the-counter medications can lessen or prevent the symptoms associated with mild benign prostatic hyperplasia (BPH). An increased fluid intake can assist in preventing burning on urination after catheter removal and reduces the risk of a urinary tract infection. There is no indication that this client had surgery or had a catheter placed. The use of antiembolic stockings and compression devices reduces the risk of developing a thromboembolism. There is no indication that this client had surgery or is at risk for developing a thromboembolism. The use of a T-binder or scrotal support is for those clients that have undergone surgery and are in need of scrotal support and support of the surgical dressing. There is no indication that this client had surgery or had a catheter placed.
B) Avoiding over-the-counter medications can lessen or prevent the symptoms associated with mild benign prostatic hyperplasia (BPH). An increased fluid intake can assist in preventing burning on urination after catheter removal and reduces the risk of a urinary tract infection. There is no indication that this client had surgery or had a catheter placed. The use of antiembolic stockings and compression devices reduces the risk of developing a thromboembolism. There is no indication that this client had surgery or is at risk for developing a thromboembolism. The use of a T-binder or scrotal support is for those clients that have undergone surgery and are in need of scrotal support and support of the surgical dressing. There is no indication that this client had surgery or had a catheter placed.
C) Avoiding over-the-counter medications can lessen or prevent the symptoms associated with mild benign prostatic hyperplasia (BPH). An increased fluid intake can assist in preventing burning on urination after catheter removal and reduces the risk of a urinary tract infection. There is no indication that this client had surgery or had a catheter placed. The use of antiembolic stockings and compression devices reduces the risk of developing a thromboembolism. There is no indication that this client had surgery or is at risk for developing a thromboembolism. The use of a T-binder or scrotal support is for those clients that have undergone surgery and are in need of scrotal support and support of the surgical dressing. There is no indication that this client had surgery or had a catheter placed.
D) Avoiding over-the-counter medications can lessen or prevent the symptoms associated with mild benign prostatic hyperplasia (BPH). An increased fluid intake can assist in preventing burning on urination after catheter removal and reduces the risk of a urinary tract infection. There is no indication that this client had surgery or had a catheter placed. The use of antiembolic stockings and compression devices reduces the risk of developing a thromboembolism. There is no indication that this client had surgery or is at risk for developing a thromboembolism. The use of a T-binder or scrotal support is for those clients that have undergone surgery and are in need of scrotal support and support of the surgical dressing. There is no indication that this client had surgery or had a catheter placed.

Question 10

The nurse at a health fair is educating clients on risk factors associated with urinary incontinence.Which risk factor does the nurse include as a non-modifiable risk factor for urinary incontinence?

Accepted Answer

A) Age is a non-modifiable risk factor and is a primary risk factor for the development of urinary incontinence; older individuals experience more frequent incontinence than younger individuals. Obesity, smoking, diabetes, inactivity, pregnancy, and depression are all modifiable risk factors for urinary incontinence.
B) Age is a non-modifiable risk factor and is a primary risk factor for the development of urinary incontinence; older individuals experience more frequent incontinence than younger individuals. Obesity, smoking, diabetes, inactivity, pregnancy, and depression are all modifiable risk factors for urinary incontinence.
C) Age is a non-modifiable risk factor and is a primary risk factor for the development of urinary incontinence; older individuals experience more frequent incontinence than younger individuals. Obesity, smoking, diabetes, inactivity, pregnancy, and depression are all modifiable risk factors for urinary incontinence.
D) Age is a non-modifiable risk factor and is a primary risk factor for the development of urinary incontinence; older individuals experience more frequent incontinence than younger individuals. Obesity, smoking, diabetes, inactivity, pregnancy, and depression are all modifiable risk factors for urinary incontinence.

Question 11

A client in the ambulatory care clinic tells the nurse about experiencing frequent diarrhea.The nurse inquires about the client's diet.Which statement from the client would be of greatest concern for the nurse?

Accepted Answer

A) Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.
B) Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.
C) Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.
D) Dairy products can contain lactose, which might be difficult for certain clients to digest, resulting in diarrhea. The remaining selections are not associated with diarrhea.

Question 12

The nurse is working in a urology clinic and is providing care for a client with urinary stress incontinence.The nurse has chosen the diagnosis of Stress Urinary Incontinence related to sphincter incompetence.Which is the desired outcome for a client with this diagnosis?

Accepted Answer

A) Performing 4-5 squeezes for 10-15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3-6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding, because this could lead to retention.
B) Performing 4-5 squeezes for 10-15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3-6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding, because this could lead to retention.
C) Performing 4-5 squeezes for 10-15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3-6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding, because this could lead to retention.
D) Performing 4-5 squeezes for 10-15 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence. Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time. Improved continence takes 3-6 months, so 1 month is not a realistic goal. Clients are not instructed to stop the flow of urine when voiding, because this could lead to retention.

Question 13

The nurse is providing care of a client who ignores the urge to defecate when at work.The client states,"I don't like to have a bowel movement anywhere but at home." Which response by the nurse is the most appropriate?

Accepted Answer

A) When the normal defecation reflexes are inhibited, these conditioned reflexes tend to be progressively weakened. When the urge to defecate is ignored, water continues to be reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually cause the urge to be lost. Embarrassment, while unwarranted, is preferable to losing the urge to defecate. Ignoring the urge will not strengthen the reflex later; it will weaken it.
B) When the normal defecation reflexes are inhibited, these conditioned reflexes tend to be progressively weakened. When the urge to defecate is ignored, water continues to be reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually cause the urge to be lost. Embarrassment, while unwarranted, is preferable to losing the urge to defecate. Ignoring the urge will not strengthen the reflex later; it will weaken it.
C) When the normal defecation reflexes are inhibited, these conditioned reflexes tend to be progressively weakened. When the urge to defecate is ignored, water continues to be reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually cause the urge to be lost. Embarrassment, while unwarranted, is preferable to losing the urge to defecate. Ignoring the urge will not strengthen the reflex later; it will weaken it.
D) When the normal defecation reflexes are inhibited, these conditioned reflexes tend to be progressively weakened. When the urge to defecate is ignored, water continues to be reabsorbed, making the feces hard and difficult to expel. Ignoring the urge repeatedly will eventually cause the urge to be lost. Embarrassment, while unwarranted, is preferable to losing the urge to defecate. Ignoring the urge will not strengthen the reflex later; it will weaken it.

Question 14

The nurse is providing care to a client who is diagnosed with stress incontinence.Which data would nurse expect to collect during the client's health history and physical assessment? Select all that apply.

Accepted Answer

A) Stress incontinence involves a small leakage of urine when a client laughs, coughs, or lifts something heavy, not if a client just carries on a conversation. A client with incontinence would wear some kind of undergarment pad, a urinary catheter is not an expected finding. If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.
B) Stress incontinence involves a small leakage of urine when a client laughs, coughs, or lifts something heavy, not if a client just carries on a conversation. A client with incontinence would wear some kind of undergarment pad, a urinary catheter is not an expected finding. If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.
C) Stress incontinence involves a small leakage of urine when a client laughs, coughs, or lifts something heavy, not if a client just carries on a conversation. A client with incontinence would wear some kind of undergarment pad, a urinary catheter is not an expected finding. If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.
D) Stress incontinence involves a small leakage of urine when a client laughs, coughs, or lifts something heavy, not if a client just carries on a conversation. A client with incontinence would wear some kind of undergarment pad, a urinary catheter is not an expected finding. If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.
E) Stress incontinence involves a small leakage of urine when a client laughs, coughs, or lifts something heavy, not if a client just carries on a conversation. A client with incontinence would wear some kind of undergarment pad, a urinary catheter is not an expected finding. If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.

Question 15

The nurse reviewing discharge instructions for a client diagnosed with urinary incontinence resulting from a urinary tract infection.Which statement made by the client indicates the need for further education?

Accepted Answer

A) A client who is diagnosed with urinary incontinence secondary to a urinary tract infection will require specific education. The client who states that he or she will hold their urine while in public to decrease the risk of another infection requires more education. Urinary retention is a contributing factor to urinary tract infections. The other statements are appropriate and indicate appropriate understanding of the information presented.
B) A client who is diagnosed with urinary incontinence secondary to a urinary tract infection will require specific education. The client who states that he or she will hold their urine while in public to decrease the risk of another infection requires more education. Urinary retention is a contributing factor to urinary tract infections. The other statements are appropriate and indicate appropriate understanding of the information presented.
C) A client who is diagnosed with urinary incontinence secondary to a urinary tract infection will require specific education. The client who states that he or she will hold their urine while in public to decrease the risk of another infection requires more education. Urinary retention is a contributing factor to urinary tract infections. The other statements are appropriate and indicate appropriate understanding of the information presented.
D) A client who is diagnosed with urinary incontinence secondary to a urinary tract infection will require specific education. The client who states that he or she will hold their urine while in public to decrease the risk of another infection requires more education. Urinary retention is a contributing factor to urinary tract infections. The other statements are appropriate and indicate appropriate understanding of the information presented.

Question 16

The nurse is providing care to a client in the healthcare clinic.The client's brother was recently diagnosed with benign prostatic hyperplasia (BPH)and wants to know if he is also at risk.Which item in the client's history increases the risk for BPH?

Accepted Answer

A) Client's with increased levels of estrogen are at an increased risk for developing BPH. Client's younger than 40 years of age are at a decreased risk for BPH. Having testicles removed prior to puberty due to cancer also decreases the risk of BPH.
B) Client's with increased levels of estrogen are at an increased risk for developing BPH. Client's younger than 40 years of age are at a decreased risk for BPH. Having testicles removed prior to puberty due to cancer also decreases the risk of BPH.
C) Client's with increased levels of estrogen are at an increased risk for developing BPH. Client's younger than 40 years of age are at a decreased risk for BPH. Having testicles removed prior to puberty due to cancer also decreases the risk of BPH.
D) Client's with increased levels of estrogen are at an increased risk for developing BPH. Client's younger than 40 years of age are at a decreased risk for BPH. Having testicles removed prior to puberty due to cancer also decreases the risk of BPH.

Question 17

The client admitted with benign prostatic hyperplasia (BPH)is prescribed an alpha-adrenergic blocker.The client is prescribed prazosin (Minipress)for the treatment of BPH.When providing care to this client,which is a priority assessment related to this medication?

Accepted Answer

A) The medication prazosin (Minipress) is an alpha-adrenergic blocker that may cause first-dose phenomenon (severe hypotension and syncope) and tachycardia. When administering this medication to a client diagnosed with BPH, the priority assessment is the client's blood pressure.
B) The medication prazosin (Minipress) is an alpha-adrenergic blocker that may cause first-dose phenomenon (severe hypotension and syncope) and tachycardia. When administering this medication to a client diagnosed with BPH, the priority assessment is the client's blood pressure.
C) The medication prazosin (Minipress) is an alpha-adrenergic blocker that may cause first-dose phenomenon (severe hypotension and syncope) and tachycardia. When administering this medication to a client diagnosed with BPH, the priority assessment is the client's blood pressure.
D) The medication prazosin (Minipress) is an alpha-adrenergic blocker that may cause first-dose phenomenon (severe hypotension and syncope) and tachycardia. When administering this medication to a client diagnosed with BPH, the priority assessment is the client's blood pressure.

Question 18

The nurse is providing training for the clinical staff of a skilled care facility and wants to include information on functional incontinence.Which risk factors for functional incontinence will the nurse include in the training? Select all that apply.

Accepted Answer

A) An immobilized client may experience incontinence if a call light is not within reach; a client with Alzheimer disease, along with other forms of dementia, may perceive the urge to void but be unable to interpret its meaning or respond by seeking a bathroom. A client with impaired vision may not be able to find the bathroom. Minimal facilities can create problems in urinary control. Depression is not usually related to incontinence.
B) An immobilized client may experience incontinence if a call light is not within reach; a client with Alzheimer disease, along with other forms of dementia, may perceive the urge to void but be unable to interpret its meaning or respond by seeking a bathroom. A client with impaired vision may not be able to find the bathroom. Minimal facilities can create problems in urinary control. Depression is not usually related to incontinence.
C) An immobilized client may experience incontinence if a call light is not within reach; a client with Alzheimer disease, along with other forms of dementia, may perceive the urge to void but be unable to interpret its meaning or respond by seeking a bathroom. A client with impaired vision may not be able to find the bathroom. Minimal facilities can create problems in urinary control. Depression is not usually related to incontinence.
D) An immobilized client may experience incontinence if a call light is not within reach; a client with Alzheimer disease, along with other forms of dementia, may perceive the urge to void but be unable to interpret its meaning or respond by seeking a bathroom. A client with impaired vision may not be able to find the bathroom. Minimal facilities can create problems in urinary control. Depression is not usually related to incontinence.
E) An immobilized client may experience incontinence if a call light is not within reach; a client with Alzheimer disease, along with other forms of dementia, may perceive the urge to void but be unable to interpret its meaning or respond by seeking a bathroom. A client with impaired vision may not be able to find the bathroom. Minimal facilities can create problems in urinary control. Depression is not usually related to incontinence.

Question 19

The nurse is assessing an adult client in a urology clinic.The client reports that she has been having "accidents" and expresses frustration about this normal part of aging.Which response by the nurse is the most appropriate?

Accepted Answer

A) As the body ages, there are anatomical changes can increase the risk for urinary incontinence; however, this is not a normal part of aging. It is appropriate for the nurse to gather more information regarding the client's incontinence. It is beyond the nurse's scope of practice to recommend surgery to the client. Telling the client the nurse understands does not help to determine the cause of the client's incontinence.
B) As the body ages, there are anatomical changes can increase the risk for urinary incontinence; however, this is not a normal part of aging. It is appropriate for the nurse to gather more information regarding the client's incontinence. It is beyond the nurse's scope of practice to recommend surgery to the client. Telling the client the nurse understands does not help to determine the cause of the client's incontinence.
C) As the body ages, there are anatomical changes can increase the risk for urinary incontinence; however, this is not a normal part of aging. It is appropriate for the nurse to gather more information regarding the client's incontinence. It is beyond the nurse's scope of practice to recommend surgery to the client. Telling the client the nurse understands does not help to determine the cause of the client's incontinence.
D) As the body ages, there are anatomical changes can increase the risk for urinary incontinence; however, this is not a normal part of aging. It is appropriate for the nurse to gather more information regarding the client's incontinence. It is beyond the nurse's scope of practice to recommend surgery to the client. Telling the client the nurse understands does not help to determine the cause of the client's incontinence.

Question 20

The nurse is caring for a client with functional incontinence.Which are factors in the development of this type of incontinence? Select all that apply.

Accepted Answer

A) Functional incontinence occurs when the ability to respond to the need to urinate is impaired. Contributing factors may include confusion, depression, or impaired mobility. Fecal incontinence is a contributing factor to overflow incontinence and prostate surgery is a contributing factor to stress incontinence.
B) Functional incontinence occurs when the ability to respond to the need to urinate is impaired. Contributing factors may include confusion, depression, or impaired mobility. Fecal incontinence is a contributing factor to overflow incontinence and prostate surgery is a contributing factor to stress incontinence.
C) Functional incontinence occurs when the ability to respond to the need to urinate is impaired. Contributing factors may include confusion, depression, or impaired mobility. Fecal incontinence is a contributing factor to overflow incontinence and prostate surgery is a contributing factor to stress incontinence.
D) Functional incontinence occurs when the ability to respond to the need to urinate is impaired. Contributing factors may include confusion, depression, or impaired mobility. Fecal incontinence is a contributing factor to overflow incontinence and prostate surgery is a contributing factor to stress incontinence.
E) Functional incontinence occurs when the ability to respond to the need to urinate is impaired. Contributing factors may include confusion, depression, or impaired mobility. Fecal incontinence is a contributing factor to overflow incontinence and prostate surgery is a contributing factor to stress incontinence.

Quiz 5: Elimination