A large residual urine volume characterizes what type of incontinence?

Overflow

Urge

Stress

Functional

Answer and Explanation

The Correct Answer is A

Choice A reason: Overflow incontinence is a type of urinary incontinence that occurs when the bladder becomes overfilled and cannot empty completely. This causes urine to leak out of the bladder, even when the person does not feel the urge to urinate. A large residual urine volume is a common sign of overflow incontinence, as it indicates that the bladder is not emptying properly.

Choice B reason: Urge incontinence is a type of urinary incontinence that occurs when the bladder contracts involuntarily and causes a sudden and strong urge to urinate. This can result in urine leakage before the person can reach the toilet. A large residual urine volume is not a typical feature of urge incontinence, as the bladder tends to empty frequently and urgently.

Choice C reason: Stress incontinence is a type of urinary incontinence that occurs when the pelvic floor muscles that support the bladder are weakened or damaged. This causes urine to leak out of the bladder when the person coughs, sneezes, laughs, or exerts pressure on the abdomen. A large residual urine volume is not a common symptom of stress incontinence, as the bladder does not overfill or contract involuntarily.

Choice D reason: Functional incontinence is a type of urinary incontinence that occurs when the person has normal bladder function but cannot reach the toilet in time due to physical or mental impairments. This can be caused by mobility problems, cognitive decline, dementia, or environmental barriers. A large residual urine volume is not a characteristic of functional incontinence, as the bladder can empty normally when the person has access to the toilet.

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Correct Answer is B

Explanation

Choice A reason: Having stable vital signs does not necessarily mean that the client is not experiencing pain. Vital signs can be affected by various factors, such as medications, stress, or emotions, and may not reflect the true level of pain.

Choice B reason: Holding abdomen tightly is a possible sign of pain, especially if the client had abdominal surgery or has a condition that affects the digestive system. The client may be guarding the painful area or trying to relieve the discomfort.

Choice C reason: Not verbalizing is not a reliable indicator of pain, especially for clients with dementia who may have difficulty communicating or expressing their feelings. The nurse should look for other cues, such as facial expressions, body language, or behavioral changes, to assess the client's pain.

Choice D reason: Moving during sleep is not a specific sign of pain, and may be normal for some clients. However, if the client is restless, agitated, or moaning during sleep, it may indicate that the client is in pain and needs intervention.

A. Pressure ulcers B. Death C. Sepsis D. Decreased circulation/perfusion to the extremities E. Fractures

Correct Answer is ["A","B","D","E"]

Explanation

Choice A: Pressure ulcers - Physical restraints can lead to immobility, which increases the risk of pressure ulcers due to prolonged pressure on the skin.

Choice B: Death - Restraints can cause fatal accidents. For example, a person might try to remove the restraint, fall, and suffer a fatal injury.

Choice C: Sepsis - While sepsis is a severe condition often caused by an infection, it's not a direct result of physical restraints. However, if a pressure ulcer (caused by restraints) becomes severely infected, it could potentially lead to sepsis.

Choice D: Decreased circulation/perfusion to the extremities - Restraints can restrict movement, leading to decreased blood flow to the extremities.

Choice E: Fractures - Struggling against restraints can lead to falls and subsequent fractures.

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A large residual urine volume characterizes what type of incontinence?

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Naxlex Comprehensive Predictor Exams

An older adult client had hip replacement surgery 1 day ago, and the nurse thinks that the client is also demonstrating dementia. Which client assessment does the nurse use to determine whether this client is experiencing pain?

Correct Answer is B

Explanation

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Correct Answer is ["A","B","D","E"]

Explanation

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