A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

Reflex incontinence

Urge incontinence

Stress incontinence

Overflow incontinence

Answer and Explanation

The Correct Answer is D

A. Reflex incontinence occurs due to a neurological impairment where the bladder empties involuntarily without sensation of fullness (e.g., spinal cord injury). This client’s symptoms suggest retention rather than involuntary reflex voiding.

B. Urge incontinence is characterized by a sudden, strong urge to urinate followed by involuntary leakage, typically caused by an overactive bladder. This does not match the description of small, continuous leakage with bladder distention.

C. Stress incontinence is due to weakened pelvic muscles, leading to urine leakage during activities like coughing, sneezing, or laughing. This does not describe constant leakage with a distended bladder.

D. Overflow incontinence occurs when the bladder becomes overly full due to incomplete emptying, leading to continuous dribbling of urine. The presence of a distended and palpable bladder strongly supports this diagnosis.

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Correct Answer is B

Explanation

A. 28 units: This would be an incorrect dosage. The correct total is 6 + 10 = 14 units.

B. 14 units: This number does not match the prescribed total dosage.

C. 42 units: This is an excessive dose and not the sum of the prescribed amounts.

D. 16 units: The total number of insulin units is 6 units of regular insulin + 10 units of NPH insulin = 16 units.

A. Wear an adult diaper. B. Avoid voiding frequently C. Perform pelvic floor exercises D. Drink cranberry juice.

Correct Answer is C

Explanation

A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.

B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.

C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.

D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.

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A nurse assessing a client’s notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

Nursing Test Bank

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Correct Answer is C

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