A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

"You should limit fluids in the evening."

"Your provider might prescribe anticholinergic medications."

"You might require an anterior vaginal repair"

"You should restrict your intake of caffeine

"You might require intermittent urinary catheterization."

Answer and Explanation

Correct Answer : A,B,D

A. "You should limit fluids in the evening." Helps reduce nighttime urinary urgency.

B. "Your provider might prescribe anticholinergic medications." Anticholinergics like oxybutynin reduce bladder contractions, decreasing urgency.

C. "You might require an anterior vaginal repair." More commonly done for stress incontinence, not urge incontinence.

D. "You should restrict your intake of caffeine." Caffeine is a bladder irritant and increases urinary urgency.

E. "You might require intermittent urinary catheterization." Not necessary unless the client has urinary retention, which is not typical for urge incontinence.

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Correct Answer is A

Explanation

A. "Excessive laxative use may cause an electrolyte imbalance." Chronic laxative use can lead to hypokalemia, dehydration, and other imbalances.

B. "Chronic use of laxatives can lead to a tear in the rectal mucosa." While irritation is possible, tearing (anal fissures) is more associated with straining or hard stools, not laxative overuse.

C. "Decrease your intake of foods high in fiber." Fiber helps regulate bowel movements and reduces laxative dependence.

D. "Irregular bowel movements are an indication of poor intestinal health." Bowel patterns vary by individual, and irregularity does not always indicate poor health.

A. Continuous output from the stoma B. Presence of blood in the stool C. Malodorous Stool D. Liquid consistency with hard stool particles

Correct Answer is B

Explanation

A. Continuous output from the stoma. Ileostomies typically have continuous liquid output, which is expected.

B. Presence of blood in the stool: Blood in the stool can indicate stomal irritation, ulceration, or bleeding from the intestines, which requires immediate medical attention.

C. Malodorous stool. While foul-smelling stool can suggest an issue (e.g., infection), it is not necessarily an emergency.

D. Liquid consistency with hard stool particles. Ileostomy output is expected to be liquid, and occasional solid particles may occur if certain foods are not fully digested.

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A nurse is teaching a client who has a new diagnosis of urge incontinence. Which of the following information should the nurse include in the teaching? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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