Nokea
Stress 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: E
Rationale: Stress incontinence occurs due to weak pelvic floor muscles, causing urine leakage during activities like coughing or sneezing.
You may also like to solve these questions
A three-way catheter is used for continuous bladder irrigation.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: A three-way catheter has an additional lumen for irrigation fluid, used in continuous bladder irrigation.
You have just inserted an indwelling catheter in a 56-year-old male patient with urinary retention due to an enlarged prostate. You notice that the drainage bag is filling quickly, with 750 mL of urine almost immediately draining into it. Which of these actions will you take?
- A. Clamp the catheter after 1,000 mL has drained to prevent bladder collapse.
- B. Clamp the catheter after 1,200 mL has drained to prevent hematuria.
- C. Take no action because the patient is tolerating rapid bladder decompression without problems.
- D. Remove the catheter after 1,500 mL has drained and call the health-care provider.
Correct Answer: C
Rationale: Rapid drainage is normal in urinary retention, and no action is needed if the patient is tolerating it without symptoms like pain or hematuria.
Sometimes patients are not aware that they retain urine. If the residual urine volume is less than 300 mL and does not feel uncomfortable to the patient, is there any reason to try to correct the problem?
- A. Yes, because the enlarged bladder can cause pressure on other organs.
- B. Yes, because residual urine can lead to urinary tract infections.
- C. Yes, because it can cause enlarged prostate in men or urethral strictures in women.
- D. No, if the patient is not uncomfortable, a residual urine of 300 mL or bible does not require treatment.
Correct Answer: B
Rationale: Residual urine, even if asymptomatic, can increase the risk of urinary tract infections due to bacterial growth in stagnant urine.
Fever, chills, malaise, nausea, vomiting, and flank pain mean the infection has most likely spread to the kidneys, causing pyelonephritis.
- A. TRUE
- B. FALSE
Correct Answer: A
Rationale: These symptoms indicate pyelonephritis, a kidney infection resulting from an untreated or severe UTI.
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.