A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Wear an adult diaper.

Avoid voiding frequently

Perform pelvic floor exercises

Drink cranberry juice.

Answer and Explanation

The Correct Answer is C

A. Wear an adult diaper. This is a temporary solution, not a treatment. The goal is to strengthen pelvic muscles rather than rely on absorbent products.

B. Avoid voiding frequently. Timed voiding may help prevent accidents, but holding urine longer can worsen incontinence.

C. Perform pelvic floor exercises. Kegel exercises strengthen pelvic floor muscles, improving bladder control and reducing urine leakage.

D. Drink cranberry juice. Cranberry juice is sometimes used to prevent UTIs, but it does not treat stress incontinence.

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Correct Answer is ["B","C","D"]

Explanation

A. "It is not normal to see food particles in the stool." Seeing undigested food in the stool is not a common sign of colorectal cancer. It is more commonly associated with conditions like malabsorption syndromes.

B. "Some people with colorectal cancer have unexplained abdominal or back pain." Persistent abdominal pain or discomfort can be a sign of colorectal cancer, especially if unexplained.

C. "Blood in the stool is one warning sign I need to look for." Blood in the stool (hematochezia or melena) is a significant warning sign of colorectal cancer.

D. "I need to let my doctor know if my bowel habits start to change." Changes in bowel habits, such as persistent diarrhea or constipation, can be an early sign of colorectal cancer.

E. "Muscle aches are common in people with colorectal cancer." Muscle aches are not a primary symptom of colorectal cancer.

A. The patient is lonely and calling then nurse in under false pretenses is a way to get attention. B. The patient does not recognize the physiological signals that indicate a need to void. C. The patient is not drinking enough fluids to produce adequate urine output. D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void.

Correct Answer is D

Explanation

A. The patient is lonely and calling the nurse under false pretenses. This is an inappropriate assumption. The patient may be experiencing urinary hesitancy due to anxiety, not seeking attention.

B. The patient does not recognize the physiological signals that indicate a need to void. The patient recognized the need to void but is having difficulty due to psychological factors (e.g., anxiety, privacy concerns).

C. The patient is not drinking enough fluids to produce adequate urine output. The patient felt the urge to void, meaning they do have urine in the bladder. The issue is likely related to difficulty initiating urination rather than fluid intake.

D. The patient can be anxious, making it difficult for abdominal and perineal muscles to relax enough to void. Paruresis ("shy bladder syndrome") can make it difficult to void in the presence of others due to anxiety or embarrassment.

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A patient asks about treatment for stress urinary incontinence. Which is the nurse's best response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a patient about the warning signs of possible colorectal cancer according to the American Cancer Society guidelines. Which statements reflect that the patient understands the teaching? (Select all that apply)

Correct Answer is ["B","C","D"]

Explanation

A patient requests the nurse's help to the bedside commode and becomes frustrated when unable to void in front of the nurse. How should the nurse interpret the patient's inability to void?

Correct Answer is D

Explanation

The nurse is caring for a patient who had a colostomy placed yesterday. The nurse should report which assessment finding immediately?

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