A nurse is reinforcing teaching with a client who has a cystocele. Which of the following statements by the client indicates an understanding of the teaching?
“I will decrease my fluid intake to reduce incontinence."
“I will experience less urinary incontinence if I use artificial sweeteners”
“I will practice perineal exercises to decrease urinary leakage”
“I should use a perineal spray to reduce odor from urinary leakage”
The Correct Answer is C
A. “I will decrease my fluid intake to reduce incontinence.”: Reducing fluid intake can lead to concentrated urine and bladder irritation, which may worsen urinary urgency and incontinence. Adequate hydration is encouraged rather than fluid restriction for managing cystocele symptoms.
B. “I will experience less urinary incontinence if I use artificial sweeteners.”: Artificial sweeteners can irritate the bladder and increase urinary frequency or urgency. Their use may exacerbate urinary incontinence rather than improve symptoms.
C. “I will practice perineal exercises to decrease urinary leakage.”: Perineal (Kegel) exercises strengthen the pelvic floor muscles that support the bladder and urethra. Regular practice can improve muscle tone and reduce urinary leakage associated with a cystocele.
D. “I should use a perineal spray to reduce odor from urinary leakage.”: Perineal sprays may mask odor but do not address the underlying pelvic floor weakness. Some products can also irritate the perineal area, potentially worsening discomfort or skin breakdown.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.5"]
Explanation
Ordered Dose: 60 mg
Available Concentration: 50 mg/1.25 mL
- Calculate the volume to administer
Volume to administer = (Ordered Dose ÷ Concentration) × Volume
Volume to administer = (60 ÷ 50) × 1.25
Volume to administer = 1.2 × 1.25
Volume to administer = 1.5 mL
Correct Answer is B
Explanation
A. “I can prevent constipation if I drink more milk while taking this medication.": Milk can actually decrease the absorption of iron and does not prevent constipation. Adequate hydration and dietary fiber are more effective strategies for managing iron-related constipation.
B. “I will mix the medication with a full glass of water.”: Ferrous sulfate elixir should be diluted in water or juice to improve taste, reduce gastrointestinal irritation, and enhance absorption. This statement reflects proper understanding of safe and effective administration.
C. “I will report black stools to my doctor": Black stools are a common, harmless side effect of iron supplementation and do not usually require reporting. Misunderstanding this can cause unnecessary concern if the client is aware that it is expected.
D. “I can prevent nausea if I take the medication on an empty stomach.”: Taking iron on an empty stomach may actually increase gastrointestinal irritation and nausea. It is often recommended to take iron with food if intolerance occurs, though absorption may be slightly reduced.
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