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."
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Urine output of 175 mL in the past 8 hours. Urine output <30 mL/hr (less than 240 mL in 8 hours) indicates oliguria, a sign of worsening renal function or acute kidney injury (AKI).
B. Urine is cloudy after sitting in the urinal for 6 hours. Urine naturally becomes cloudy when it sits due to precipitation of solutes.
C. First-voided urine in the morning has a strong odor. Morning urine is more concentrated, causing a strong odor.
D. Urine output of 2,200 mL in the past 24 hours. Not necessarily concerning unless the client has polyuria (>3L/day), which can indicate diabetes or diuretic effects, but 2,200 mL is still within the normal range.
Correct Answer is B
Explanation
A. Irrigating the urinary catheter with sterile water: Not routine; only done if there is obstruction or as prescribed. Frequent irrigation increases infection risk by introducing bacteria.
B. Hanging the urinary drainage bag below the level of the bladder: Prevents backflow of urine, reducing CAUTI risk. Never let the bag touch the floor.
C. Cleansing the urinary meatus 3 to 4 times daily with antiseptic solution: Unnecessary and can irritate the urethra. Routine perineal care with soap and water is enough.
D. Emptying the urinary drainage bag daily: Should be emptied at least every 8 hours or when half full, not just daily. Reduces bacterial growth and backflow.
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