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

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. If the round, firm, moveable part is in the fundus and the long, smooth surface is on the right side, the fetal back is likely on the right side, making the fetal heart tones more audible in the right lower quadrant.
B. The right upper quadrant is less likely to have clear fetal heart tones if the fetal back is on the right side; this quadrant is typically less optimal for auscultation in this scenario.
C. Given the fetal back is on the right side, the fetal heart tones are best heard in the right lower quadrant, where the back is more prominent.
D. The left upper quadrant would not be the best place to auscultate the fetal heart tones if the fetal back is on the right side.

A. "This will happen by the end of the first trimester of pregnancy." B. "This will occur between the fourth and fifth months of pregnancy." C. "This will occur during the last trimester of pregnancy." D. "This will happen once the uterus begins to rise out of the pelvis."

Correct Answer is B

Explanation

A. Quickening, or the first movements of the fetus felt by the mother, typically occurs between 16 to 20 weeks of gestation, which is well after the first trimester.
B. Quickening generally occurs between the fourth and fifth months of pregnancy (16 to 20 weeks). By this time, the fetal movements are usually felt by the mother.
C. Quickening does not occur during the last trimester but rather in the middle of pregnancy.
D. The uterus rising out of the pelvis typically occurs earlier in the second trimester and is not directly related to the onset of quickening.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, moveable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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