Bladder Incontinence Davis Advantage/Edge

An older female client tells the nurse she has been experiencing new onset urinary incontinence. What is the nurse's best response? "That is not a part of the aging process." "Underpads are available to protect your clothing." "Please tell me about your symptoms." "There are surgical repair options available to help."

"Please tell me about your symptoms."

A patient is undergoing treatment for stress incontinence. Which instruction provided by the nurse is most appropriate to manage this condition? "Avoid coffee and cigarettes." "Use diapers while traveling." "Practice pelvic floor exercises regularly." "Avoid taking large amount of fluids at once."

"Practice pelvic floor exercise regularly."

A patient is diagnosed with urinary urge incontinence from an overactive bladder. Which treatment strategies are most likely to be beneficial to the patient? Select all that apply. Anticholinergics Systemic estrogen Bladder neck suspension Augmentation cystoplasty Alpha-adrenergic blocking agents

Anticholinergics Augmentation cystoplasty

When teaching a client about irritants that may aggravate urinary incontinence, the nurse should include which substances? Select all that apply. Caffeine Alcohol Gluten Acidic foods Carbonated beverages

Caffeine Alcohol Acidic foods Carbonated beverages

Overflow Incontinence

Caused by spinal cord injury (SCI) Treatment includes the use of alpha-adrenergic medications Causes frequent urination

Functional Incontinence

Causes a loss of urine in inappropriate places Implement timed toileting in plan of care Caused by an inability to communicate toileting needs

Stress Incontinence

Childbirth Occurs when coughing Postmenopausal smoking Treated by teaching Kegel exercises

The nurse is discharging a client with incontinence who will be performing clean intermittent catheterization. What is the best way for the nurse to confirm the client understands the discharge instructions? Have him or her verbalize back what is taught Have the client write out each step of the process Have him or her teach a family member what needs to occur Have him or her provide a return demonstration

Have him or her verbalize back what is taught

Which drug is used to treat mixed urge and stress incontinence? Ditropan Doxazosin Imipramine Topical estrogen

Imipramine

A mother of three states she experiences urinary leakage when coughing or sneezing. Which intervention is most appropriate for the nurse to suggest first? Clean intermittent catheterization Anticholinergic medication Restrict oral fluid intake Kegel exercises

Kegel exercises

Urge Incontinence

Nicotine Strong urge to urinate Teach patient to eliminate bladder irritants Uncontrolled leakage of urine

Mixed Incontinence

Occurs with laughing or coughing Caused by postmenopausal smoking or obesity Strong urge to urinate followed by uncontrolled leakage of urine

A client has suffered a spinal cord injury. Which urinary incontinence does the nurse anticipate the client will experience? Stress Urge Overflow Functional

Overflow

A client presents to the clinic with new onset urinary incontinence. While determining treatment options, which of the following is priority? Making sure the client gets to the bathroom Educating about the increasing incidence of incontinence with age Preventing skin breakdown and controlling odor Educating about pelvic floor exercises

Preventing skin breakdown and controlling odor

Which describes the action of antispasmodics in treating urinary incontinence? Select all that apply. Promote urethral relaxation Promote bladder relaxation Restore moisture of the urethra Promote the action of anticholinergics Block impulses from the parasympathetic nervous system

Promote bladder relaxation Block impulses from the parasympathetic nervous system

A patient with a urinary tract infection also has a history of incontinence. The provider orders a cystourethrogram, which notes the presence of the backflow of urine. Which treatment strategy is most likely to benefit the patient? Administer antispasmodics. Advise to administer a pessary. Advise to perform Kegel exercises. Provide clean intermittent catheterization

Provide clean intermittent catheterization

A patient with urge incontinence is treated with high doses of antispasmodics. Which action of the nurse is beneficial to the patient? Administer pessaries. Advise the patient to perform reflex voiding. Provide intermittent catheterization. Instruct the patient to avoid fluid intake 1 hour before sleep.

Provide intermittent catheterization

Which patient's condition can be treated with artificial urinary sphincter surgery? Total incontinence Stress incontinence Reflex incontinence Instability incontinence

Stress incontinence

A perimenopausal female patient reports urine leakage while laughing and coughing. Which medication is most likely to benefit the patient? Trospium Oxybutynin Darifenacin Systemic estrogen

Systemic estrogen

The nurse is preparing to teach a client about interventions to help with functional incontinence. Which intervention should be included in the teaching? Timed toileting Take alpha adrenergic medication Clean intermittent catheterization Fluid restriction

Timed toileting

Topical estrogen has been prescribed for a client experiencing urinary incontinence. The nurse should tell the client that the medication has been prescribed for which purpose? To block impulses in the nervous system to control the bladder To promote anti-cholinergic actions inhibiting parasympathetic activity To promote urethral relaxation to aid with urinary retention To help restore tone of the urethra and vaginal areas

To help restore tone of the urethra and vaginal areas

Which diagnostic test is most appropriate to determine the presence of urinary incontinence in pregnant women? Ultrasound testing Intravenous pyelogram Voiding cystourethrogram Kidney ureter bladder X-rays

Ultrasound testing

A client presents to the clinic after experiencing a strong need to urinate followed by uncontrolled leakage of urine. The nurse suspects the client will be diagnosed with which type of urinary incontinence? Stress incontinence Urge incontinence Functional incontinence Overflow incontinence

Urge incontinence

The nurse is reviewing the results of a urinalysis on a client presenting for urinary incontinence. Which findings on the urinalysis may indicate infection? Select all that apply. Glucose White blood cells Nitrates Ketones Hematuria

White blood cells Nitrates Hematuria