A nurse is assessing an older adult client who reports a sudden onset of urinary incontinence. The nurse should recognize which of the following conditions is most likely to cause incontinence in the older adult client?
Cystitis
Nephrosclerosis
Diverticulitis
Uremia
The Correct Answer is A
A. Cystitis, or a urinary tract infection (UTI), is a common cause of sudden-onset urinary incontinence in older adults. UTIs can lead to irritation of the bladder, increasing the urgency and frequency of urination, and sometimes causing incontinence.
B. Nephrosclerosis involves the hardening of the renal arteries, which can lead to chronic kidney disease, but it is not a typical cause of sudden-onset urinary incontinence.
C. Diverticulitis affects the colon and does not directly cause urinary incontinence. It is more associated with gastrointestinal symptoms like abdominal pain and changes in bowel habits.
D. Uremia is a condition resulting from severe kidney dysfunction, leading to the accumulation of waste products in the blood, but it does not directly cause sudden-onset urinary incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The correct distance to advance the cane is typically 6 to 10 inches, not 12 to 24 inches. Advancing the cane too far ahead can compromise stability and increase the risk of falls.
B. The cane should be held in the strong hand, not the weak hand, to provide better support and balance when walking. Holding the cane in the weak hand would reduce stability and increase the risk of injury.
C. The correct height for a cane should be adjusted to the distance from the floor to the crease of the wrist when the user is standing upright. This ensures that the elbow is slightly flexed when the cane is used. Measuring to mid flank is not an accurate method and could result in an improperly sized cane.
D. When using a cane, the client should advance the cane along with the weak leg first, followed by the strong leg. This sequence provides stability and reduces the risk of falls by ensuring that the body is properly supported during ambulation.
Correct Answer is A
Explanation
A. Late decelerations, where the fetal heart rate slows after the start of a contraction, indicate uteroplacental insufficiency. Placing the client in the lateral position helps improve blood flow to the placenta, which is the first intervention to address this condition.
B. Elevating the client’s legs is more appropriate for managing hypotension, not late decelerations. While it can help with blood flow, the priority intervention is repositioning to improve placental perfusion.
C. Increasing the rate of maintenance IV infusion may be necessary to enhance maternal blood volume and placental perfusion, but it is not the first action. Repositioning is the priority.
D. Administering oxygen can be beneficial in improving oxygen delivery to the fetus, but it is not the first action. The lateral position should be initiated before other interventions to optimize placental blood flow.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.