PrepU: Bladder and Lower Urinary Tract (Chapter 35)

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 can only occur when there is incontinence."

A client has a spastic bladder. Which comment is of most concern to the nurse?

"I feel like I have a fever"

A client has just been diagnosed with urinary incontinence. The primary nurse knows that the treatment/management of incontinence can include which measures? Select all that apply.

Behavioral measures Surgical correction Pharmacologic measures Non-catheter devices to obstruct urine flow Indwelling catheter

Which reserve urinary structure helps to stop micturition when it is occurring and maintains continence under high bladder pressure?

External sphincter

Which assessment indicates to the nurse that a client may have a spastic bladder dysfunction?

Incontinence

An older adult presents to the primary health care provider's office with a report of bladder leakage. Which assessment correlates with a diagnosis of stress incontinence?

Loss of small amounts of urine when laughing or sneezing

A 40-year-old mother of three reports incontinence. Her physician suggests Kegel exercises because they strengthen the pelvic floor muscles. Kegel exercises are most likely to help which type of incontinence?

Stress incontinence

The nursing students have learned in class that causes of urinary obstruction and urinary incontinence include which of the following? Select all that apply.

Structural changes in the urethra Impairment of neurologic control of bladder function Structural changes in the bladder

A client tells the nurse that he is experiencing involuntary loss of urine associated with a strong desire to void (urgency). The nurse would recognize this as:

Urge incontinence

The nurse understands that medications, although very beneficial to clients, can have harmful effects. When working with older adult clients the nurse should recognize that which outcome is a common result of potent, fast-acting diuretics?

Urge incontinence