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A nurse teaches a client with functional urinary incontinence. Which statement should the nurse include in this client's teaching?
- A. You must clean around your catheter daily with soap and water.
- B. You must clean around your catheter daily with soap and water.
- C. You must clean around your catheter daily with soap and water.
- D. Operations to repair your bladder are available, and you can consider these.
- E. Buy slacks with elastic waistbands that are easy to pull down.
Correct Answer: E
Rationale: Functional urinary incontinence occurs as the result of problems not related to the client's bladder, such as trouble accessing a toilet. One goal is that the client be able to manage his or her clothing independently. Elastic waistband slacks that are easy to pull down can help the client get on the toilet in time to void. The other instructions do not relate to functional urinary incontinence.
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A nurse assesses a client who presents with renal calculi. Which question should the nurse ask?
- A. Do any of your family members have this problem?
- B. Do you drink any cranberry juice?
- C. Do you urinate after sexual intercourse?
- D. Do you experience burning with urination?
Correct Answer: A
Rationale: There is a strong association between family history and stone formation and recurrence. Nephrolithiasis is associated with many genetic variations; therefore, the nurse should ask whether other family members have also had renal stones.
A nurse cares for adult clients who experience urge incontinence. For which client should the nurse plan a habit training program?
- A. A 60-year-old female who is confused
- B. A 65-year-old female who is confused
- C. A 65-year-old female who is confused
- D. A 62-year-old female with kidney failure
Correct Answer: A
Rationale: For a bladder training program to succeed in a client with urge incontinence, the client must be alert, aware, and able to resist the urge to urinate. Habit training will work best for a confused client. This includes going to the bathroom (or being assisted to the bathroom) at set times. The other clients may benefit from another type of bladder training.
A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
- A. A 24-year-old female post vaginal delivery: Habit training
- B. A 58-year-old postmenopausal client who is not taking estrogen therapy: Electrical stimulation
- C. A 64-year-old female with Alzheimer's-type senile dementia: Bladder training
- D. A 7-year-old female who has difficulty ambulating: Exercise therapy
Correct Answer: B
Rationale: Exercise therapy and electrical stimulation are used for clients with stress incontinence related to childbirth or low levels of estrogen after menopause. Exercise therapy increases pelvic wall strength; it does not improve ambulation. Habit training is the type of bladder training that will be most effective for cognitively impaired clients.
A nurse cares for clients with urinary incontinence. Which types of incontinence are correctly paired with their clinical manifestation?
- A. Stress incontinence: Urine loss with physical exertion
- B. Urge incontinence: Large amount of urine with each occurrence
- C. Functional incontinence: Urine loss results from abnormal detrusor contractions
- D. Overflow incontinence: Constant dribbling of urine
Correct Answer: A,B,D
Rationale: Stress incontinence is a loss of urine with physical exertion, coughing, sneezing, or exercising. Urge incontinence presents with an abrupt and strong urge to void and usually has a large amount of urine released with each occurrence. Overflow incontinence occurs with bladder distention and results in a constant dribbling of urine.
A nurse teaches a client who is starting urinary bladder training. Which statement should the nurse include in this client's teaching?
- A. Use the toilet when you first feel the urge, rather than at specific intervals.
- B. Try to consciously hold your urine until the scheduled toileting time.
- C. The client needs to determine whether the client is taking a 24 hours.
- D. The toileting interval can be increased once you have been continent for a week.
Correct Answer: B
Rationale: The client should try to hold the urine consciously until the next scheduled toileting time. Toileting should occur at specific intervals during the training. The toileting interval should be no less than every hour.