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. "Don't worry, most clients dislike the prep more than the procedure itself." This dismisses the client's concerns rather than addressing them directly.

B. "Before the examination, your provider will give you a sedative that will make you sleepy." This response reassures the client by providing factual information about sedation during the procedure.

C. "After you have signed the consent form, we can talk more about this." This does not directly address the client’s anxiety.

D. "I know you're anxious, but this procedure is recommended for people your age." While screening is important, this response does not alleviate the client’s concerns.

A. "You should limit fluids in the evening." B. "Your provider might prescribe anticholinergic medications." C. "You might require an anterior vaginal repair" D. "You should restrict your intake of caffeine E. "You might require intermittent urinary catheterization."

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

Explanation

A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.

B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.

C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.

D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.

E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge 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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A nurse is providing instructions for a 52-year-old client who is scheduled for a colonoscopy. The client reports that he has not had the procedure before and is very anxious about feeling pain during the procedure. Which of the following responses by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

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

Explanation

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