A 68-year-old male patient is presenting with urinary incontinence. Which characteristics are commonly associated with overflow incontinence and functional incontinence?
(Select All that Apply.)

Loss of urine during laughing or sneezing

Constant dribbling of urine despite frequent urination

Frequent urination at night with a strong urge

Sudden and intense urge to urinate followed by loss of urine

Answer and Explanation

Correct Answer : B,E

A.   Loss of urine during laughing or sneezing is typically associated with stress incontinence, not overflow or functional incontinence.
B.   Constant dribbling of urine despite frequent urination is a hallmark of overflow incontinence, often caused by an underactive bladder or obstruction.
C.   Frequent urination at night with a strong urge is more characteristic of urge incontinence.
D.   Sudden and intense urge to urinate followed by loss of urine is also indicative of urge incontinence.
E.   Inability to access the toilet in time due to physical limitations, such as arthritis, is common in functional incontinence, where the person is unable to reach the bathroom in time despite normal bladder function.

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Correct Answer is D

Explanation

A. Administering an anti-diarrheal medication as prescribed might help control the symptoms, but it is important to address the underlying cause of the diarrhea first, such as adjusting the feeding.
B. Increasing water flushes may help with hydration, but it does not specifically address the diarrhea caused by the enteral feeding. It's more important to manage the feeding itself.
C. Switching the feeding method to bolus feeding could increase the risk of aspiration and discomfort. Continuous feeding is generally safer and better tolerated in this context.
D. Decreasing the feeding rate and consulting the dietitian for a fiber-enriched formula is the most appropriate response. Adjusting the feeding rate can help reduce gastrointestinal upset, and a fiber- enriched formula can help firm up stools.

A. Position the patient supine during feeding to enhance comfort. B. Monitor gastric residual volumes regularly. C. Administer all feedings rapidly to decrease procedure time. D. Use sterile gloves when handling the feeding tube. E. Flush the tube with water before and after medication administration. F. Elevate the head of the bed to at least 30 degrees during feeding. G. Verify tube placement before starting the feeding.

Correct Answer is ["B","E","F","G"]

Explanation

A. Positioning the patient supine can increase the risk of aspiration and should be avoided during feeding. The head of the bed should be elevated instead.
B. Monitoring gastric residual volumes is important to assess the tolerance of the feeding and prevent aspiration.
C. Feedings should be given slowly to avoid complications like gastric distention, not rapidly.
D. Using sterile gloves when handling a feeding tube is not necessary unless there is a risk for infection, but clean gloves are generally adequate.
E. Flushing the tube with water before and after medication administration helps to maintain patency and prevent clogging.
F. The head of the bed should be elevated at least 30 degrees during feeding to reduce the risk of aspiration.
G. Verifying tube placement before starting the feeding ensures that the feeding is going into the stomach and not the lungs.

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A 68-year-old male patient is presenting with urinary incontinence. Which characteristics are commonly associated with overflow incontinence and functional incontinence? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a patient receiving continuous enteral feeding through a nasogastric tube. During the assessment, the nurse discovers that the patient is experiencing diarrhea. Which of the following actions should the nurse take to address this complication?

Correct Answer is D

Explanation

A nurse is caring for a patient receiving enteral nutrition through a nasogastric tube. Which interventions should the nurse implement to ensure safe and effective enteral feeding? (Select All that Apply.)

Correct Answer is ["B","E","F","G"]

Explanation

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A 68-year-old male patient is presenting with urinary incontinence. Which characteristics are commonly associated with overflow incontinence and functional incontinence?
(Select All that Apply.)