A nurse is reinforcing discharge instructions to a client who is 24 hr postpartum and has reported urge incontinence.
Which of the following should the nurse reinforce as a first referral to treat the client?
Referral to pelvic floor physical therapy.
Referral to a urologist.
Referral to sports medicine.
Referral to a primary care physician.
The Correct Answer is A
Choice A rationale
Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.
Choice B rationale
A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.
Choice C rationale
Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.
Choice D rationale
A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hyperthyroidism is more likely to occur in women of childbearing age and does not have a higher incidence post-menopause. It is often associated with autoimmune disorders such as Graves' disease, which can affect individuals at any age.
Choice B rationale
Graves' disease is an autoimmune disorder that is a common cause of hyperthyroidism. It results from the immune system producing antibodies that stimulate the thyroid gland to produce excessive thyroid hormones.
Choice C rationale
Cardiovascular disease is not a direct cause of hyperthyroidism. However, untreated hyperthyroidism can lead to complications such as atrial fibrillation and heart failure due to the overproduction of thyroid hormones.
Choice D rationale
Hyperthyroidism results in excessive production of thyroid hormones, not too little. This excess leads to symptoms such as weight loss, heat intolerance, tremors, and increased metabolism, distinguishing it from hypothyroidism.
Correct Answer is D
Explanation
Choice A rationale
If both the client and the newborn are Rh positive, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice B rationale
If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice C rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice D rationale
If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh incompatibility, and Rho(D) immune globulin is needed to prevent the development of Rh sensitization in future pregnancies. .
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