Nokea
Neuropathic 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: B
Rationale: Neuropathic incontinence occurs when nerve damage prevents the brain from receiving signals that the bladder is full.
You may also like to solve these questions
One important nursing intervention for patients with suspected renal calculi is to
- A. Obtain timed urine specimens.
- B. Strain the urine.
- C. Assess for hematuria.
- D. Palpate both flanks for tenderness.
Correct Answer: B,C
Rationale: Straining urine detects passed stones, and assessing for hematuria identifies blood in the urine, a common sign of renal calculi.
In catheters, the greater the size number, the larger the catheter.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: Catheter size is measured in French (Fr) units, where a higher number indicates a larger diameter.
Which independent nursing measure would you implement?
- A. Encourage fluid intake
- B. Perform a bladder scan
- C. Administer a diuretic
- D. Insert a new catheter
Correct Answer: B
Rationale: Performing a bladder scan is an independent nursing action to assess for urinary retention in a patient with low voiding volumes.
Overflow 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: D
Rationale: Overflow incontinence occurs when the bladder does not empty fully due to an obstruction, causing leakage.
The urethra is a tube that, in males, is surrounded by prostate tissue. When the prostate enlarges, it encroaches on the urethra and narrows it. When catheterizing a male patient with an enlarged prostate, you may encounter resistance. How should you respond to this situation?
- A. Remove the catheter immediately and call the health-care provider.
- B. Continue to try to advance the catheter. If bleeding occurs, leave the catheter in place and call the health-care provider.
- C. Gently twist the catheter to try to pass the tip past the area of prostate enlargement.
- D. Remove the catheter and try a larger size.
Correct Answer: C
Rationale: Gently twisting the catheter can help navigate past the obstruction caused by an enlarged prostate.