Nokea
Functional incontinence
- A. Incontinence related to inability to get to the bathroom
- B. The brain does not receive a message that the bladder is full
- C. Incontinence related to bladder spasms and contractions
- D. The bladder does not empty because of an obstruction
- E. Incontinence related to weak pelvic floor muscles
- F. Loss of urine with no warning
Correct Answer: A
Rationale: Functional incontinence results from physical or cognitive inability to reach the bathroom in time.
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A frail elderly patient with a hip fracture has to void before surgery. Which of the following is the best way to handle this?
- A. Have the patient use a fracture pan.
- B. Have the patient use a regular bedpan.
- C. Help the patient use the bedside commode.
- D. Catheterize the patient.
Correct Answer: A
Rationale: A fracture pan is designed for patients with mobility limitations, such as a hip fracture, to facilitate voiding with minimal movement.
The nursing assistant tells you that Mrs. White gained 3 pounds since her daily weigh the previous morning. You are most concerned that Mrs. White
- A. Has been eating too many calories in the past 24 hours.
- B. Is retaining approximately 1.5 liters of fluid since yesterday.
- C. Is not getting enough movement and exercise while in the hospital.
- D. Was dehydrated yesterday and has replaced needed fluids.
Correct Answer: B
Rationale: A 3-pound weight gain in 24 hours likely indicates fluid retention (1 kg ? 1 liter), equivalent to about 1.5 liters, which requires further assessment.
You are teaching an aide to perform catheter care. Which of the following represents an accurate statement?
- A. Clean the perineum and a few inches of tubing using a perineal wash and a washcloth or gauze in downward strokes away from the body.
- B. Wash the perineum with a soapy washcloth using circular motions.
- C. Wash from the tubing 3 to 4 inches from the insertion site up toward the meatus.
- D. Separate the labia if the patient is female and wash first on one side, then the other, and then down the middle.
Correct Answer: A,D
Rationale: Cleaning downward from the meatus and separating the labia to clean thoroughly prevents infection by moving away from the insertion site.
Circumcision is
- A. Retraction of the foreskin in males.
- B. Removal of the foreskin in males.
- C. Tightening of the foreskin in males.
- D. Narrowing of the opening of the foreskin in males.
Correct Answer: B
Rationale: Circumcision involves surgical removal of the foreskin in males.
A is used for urine to be eliminated by an alternate route rather than traveling through the bladder.
- A. Urostomy
- B. Foley catheter
- C. Nephrostomy tube
- D. Straight catheter
Correct Answer: C
Rationale: A nephrostomy tube diverts urine directly from the kidney to an external collection system, bypassing the bladder.