bladder incontinence NUR350

The nursing instructor who is teaching about disorders of the lower urinary tract realizes a need for further instruction when one of the students makes which statement? "Alterations in bladder function occurs frequently in older adults." "Alterations in bladder function can only occur when there is incontinence." "Alterations in bladder function can include urinary obstruction with retention or stasis of urine." "Alterations in bladder function can include urinary incontinence with involuntary loss of urine."

"Alterations in bladder function can only occur when there is incontinence."

The parent of a 5-year-old child tells the nurse that on two occasions their child has lost control of urination when they had to wait to go to the bathroom at school. What is the appropriate nursing response? "I would only worry about this if you were raising a female child." "It would be appropriate to place your child in incontinence undergarments." "This is extremely abnormal. You will need to see your child's pediatrician." "Let's review the types of fluids that your child drinks in the morning."

"Let's review the types of fluids that your child drinks in the morning."

A warehouse worker is experiencing trouble with incontinence, especially when lifting heavy objects. What intervention is most appropriate for this client's needs? Administration of diuretics as ordered to promote frequent bladder emptying Intermittent catheterization Administration of alpha-adrenergic agonist drugs as ordered Bladder ultrasonography two to three times daily

Administration of alpha-adrenergic agonist drugs as ordered

Which statement accurately describes the etiology of stress incontinence? Overactivity of the voiding reflexes related to the nervous system damage The involuntary release of urine related to a strong sense of urgency The decrease in smooth muscle of the bladder causing increased urination An increase in intra-abdominal pressure that results in involuntary urination

An increase in intra-abdominal pressure that results in involuntary urination

The nurse is employed in a urologist's office. Which classification of medication is anticipated for clients having difficulty with urinary incontinence? Anticholinergic Cholinergic Anticonvulsant Diuretics

Anticholinergic

A client is frustrated and embarrassed by urinary incontinence. Which measure should the nurse include in a bladder retraining program? Establishing a predetermined fluid intake pattern for the client Restricting fluid intake to reduce the need to void Assessing present voiding patterns Encouraging the client to increase the time between voidings

Assessing present voiding patterns

Behavioral interventions for urinary incontinence can be coordinated by a nurse. A comprehensive program that incorporates timed voiding and urinary urge inhibition is referred to as what? Interval voiding Voiding at given intervals Prompted voiding Bladder retraining

Bladder retraining

The nurse is obtaining a health history from a client describing urinary complications. Which assessment finding is most suggestive of a malignant tumor of the bladder? Frequency Dysuria Incontinence Hematuria

Hematuria

What is an advantage of using an external condom catheter for a client who has frequent episodes of urinary incontinence? The client can apply it themself with minimal supervision. It can be left in place for a long period of time. A sterile urine specimen can be obtained from the drainage bag tubing. It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.

It collects urine into a drainage bag without the risk of infection associated with indwelling urinary catheters.

The nurse is working with a client who requires continence training. Which client teaching about pelvic floor muscle exercises (Kegel exercises) will the nurse include? Relax muscles for at least 5 minutes between repetitions. Loosen the internal muscles used to prevent or interrupt urination. Keep muscles contracted for at least 10 seconds. Perform these exercises two times daily for a week.

Keep muscles contracted for at least 10 seconds.

A nurse who is taking care of a client with a spinal cord injury documents the frequency of reflex incontinence. The nurse understands that this is most likely due to: Loss of motor control of the detrusor muscle. Compromised ligament and pelvic floor support of the urethra. A stricture or tumor in the bladder. Uninhibited detrusor contractions.

Loss of motor control of the detrusor muscle.

An 82-year-old client experiences urinary incontinence. Which factor should the nurse assess before beginning a bladder training program for this client? History of allergies Occupational history Physical and environmental conditions Smoking habits

Physical and environmental conditions

The nurse is conducting a history and assessment related to a client's incontinence. Which element should the nurse include in the assessment before beginning a bladder training program? History of allergies Occupational history Smoking habits Physical and environmental conditions

Physical and environmental conditions

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate I can't control it, and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? Stress Functional Overflow Urge

Urge

A client comes to the clinic for a follow-up visit. During the interview, the client states, "Sometimes when I have to urinate, I can't control it and do not reach the bathroom in time." The nurse suspects that the client is experiencing which type of incontinence? Stress Functional Overflow Urge

Urge

The most frequent reason for admission to skilled care facilities includes which of the following? Stroke Myocardial infarction Congestive heart failure Urinary incontinence

Urinary incontinence

A group of students are reviewing information about disorders of the bladder and urethra. The students demonstrate understanding of the material when they identify which of the following as a voiding dysfunction? Urethral stricture Urinary retention Cystitis Bladder stones

Urinary retention

A client reports that they are often unable to retain urine until they locate a toilet because their mobility is decreased. The nurse should recognize the characteristics of what type of incontinence? total urge stress functional

functional

A 40-year-old client arrives at the community health center experiencing a strange, dragging feeling in the vagina. She stated that "at times it feels as if there is a lump" there as well. Which condition do these symptoms indicate? pelvic organ prolapse uterine fibroids (uterine myomas) urinary incontinence endocervical polyps

pelvic organ prolapse

A 70-year-old client who has four children and six grandchildren states that they "wet" themself when they sneeze or laugh. They report that sometimes this also occurs when rising from a sitting to standing position. Which type of incontinence does the nurse anticipate? reflect urge stress total

stress