A nurse is caring for a client who reports whenever she sneezes or coughs some urine leaks and has to wear a pantyliner. The nurse recognizes that this is a sign of which type of incontinence?

Stress

Overflow

Functional

Urge

Answer and Explanation

The Correct Answer is A

Choice A reason:

Stress incontinence occurs when physical movement or activity, such as coughing, sneezing, or exercise, puts pressure on the bladder, leading to involuntary leakage of urine. This is the most likely explanation for the client's symptoms of urine leakage during activities that increase intra-abdominal pressure.

Choice B reason:

Overflow incontinence is characterized by the inability to empty the bladder completely, leading to frequent dribbling or leakage of urine. It typically occurs when the bladder is overdistended. This description does not align with the client's report of leakage specifically triggered by sneezing or coughing.

Choice C reason:

Functional incontinence is related to physical or cognitive impairments that prevent an individual from reaching the bathroom in time. It is not caused by bladder or urinary tract issues directly but rather by external factors such as mobility limitations. This is not consistent with the client's symptoms.

Choice D reason:

Urge incontinence involves a sudden, intense urge to urinate followed by involuntary bladder contraction and urine leakage. It is typically associated with an overactive bladder. The client's symptoms of leakage specifically triggered by sneezing or coughing are more indicative of stress incontinence rather than urge incontinence.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A reason:

A BUN level of 165 mg/dL is exceedingly high and typically indicates severe renal dysfunction or failure rather than dehydration alone. While BUN levels can increase due to dehydration, they do not usually reach such extreme levels unless there is significant underlying kidney pathology.

Choice B reason:

A BUN level of 35 mg/dL is elevated and could be indicative of dehydration or other conditions affecting renal function. However, it is less likely to be a common finding solely due to dehydration compared to other levels provided.

Choice C reason:

A BUN level of 10 mg/dL falls within the normal range (10-20 mg/dL). For a client who is dehydrated, one would expect the BUN to be elevated rather than within the normal range. Therefore, a normal BUN level does not align with the clinical presentation of dehydration.

Choice D reason:

A BUN level of 31 mg/dL is elevated and consistent with the expected findings in a dehydrated client. Dehydration can lead to increased BUN levels due to decreased renal blood flow and glomerular filtration rate, resulting in higher blood urea nitrogen levels.

A. Tachycardia B. Excessive lacrimation C. Decreased urination D. Excessive sweating E. Dry mouth

Correct Answer is ["A","C","E"]

Explanation

Choice A reason:

Tachycardia, or an increased heart rate, is one of the anticholinergic side effects associated with cyclobenzaprine. Anticholinergic medications block the action of acetylcholine, a neurotransmitter that is involved in many bodily functions including heart rate regulation. By inhibiting acetylcholine, these medications can lead to an increase in heart rate, making tachycardia a possible and notable side effect.

Choice B reason:

Excessive lacrimation, or excessive tearing, is not typically associated with anticholinergic side effects. In fact, anticholinergic medications tend to reduce bodily secretions, leading to dryness in areas such as the eyes, mouth, and other mucous membranes. Therefore, excessive lacrimation would not be expected and is not a relevant side effect of cyclobenzaprine.

Choice C reason:

Decreased urination, or urinary retention, is a known anticholinergic side effect. Anticholinergic medications can interfere with the normal function of the bladder, making it difficult to initiate urination or empty the bladder completely. This can lead to decreased urination and discomfort, which is important for patients to be aware of while taking these medications.

Choice D reason:

Excessive sweating is not typically associated with anticholinergic side effects. Anticholinergic medications generally reduce sweating by inhibiting the action of acetylcholine on sweat glands. As a result, patients taking these medications may experience decreased sweating rather than an increase, making excessive sweating an incorrect choice in this context.

Choice E reason:

Dry mouth is one of the classic anticholinergic side effects and is commonly experienced by patients taking cyclobenzaprine. The reduction in saliva production due to the inhibition of acetylcholine can cause significant discomfort and difficulty in speaking or swallowing. Patients should be informed about this side effect so they can take steps to manage it, such as staying hydrated or using saliva substitutes.

View Question and Answer

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

A nurse is caring for a client who reports whenever she sneezes or coughs some urine leaks and has to wear a pantyliner. The nurse recognizes that this is a sign of which type of incontinence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is dehydrated. Which BUN level should the nurse expect the client to have upon admission? (Normal BUN 10-20)

Correct Answer is D

Explanation

A client is taking cyclobenzaprine (Flexeril) for acute muscle spasms of the back. The nurse educates the client on which possible anticholinergic side effects associated with this medication? (Select all that apply)

Correct Answer is ["A","C","E"]

Explanation

A nurse is performing an admission assessment on a client. Which finding should the nurse identify as an indication that the client is dehydrated?

A nurse is teaching a client who has a new prescription for lithium to treat bipolar disorder. The nurse should instruct the client to ensure an adequate intake of which of the following dietary elements?

Which action should the nurse implement first?

A small-bore feeding tube is placed. Which technique will the nurse use to best verify tube placement?

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?

The nurse is preparing to administer digoxin (Lanoxin) to a client experiencing atrial fibrillation. Which of the following electrolyte imbalances would the nurse assess to reduce the incidence of toxicity with digoxin?

A client presents to the clinic with intense itching at night and is diagnosed with Pinworms. The nurse anticipates the client would be placed on which medication to treat this condition?

A registered nurse interprets that a scribbled medication order reads 25 mg. The nurse administers 25 mg of the medication to a patient and then discovers that the dose was incorrectly interpreted and should have been 15 mg. Who is ultimately responsible for the error?