A patient presents with urinary incontinence. Which of the following expected findings would the nurse most likely assess?
Urinary urgency without frequency
Loss of urine when laughing, coughing, sneezing
Urinary hesitancy
Hematuria
The Correct Answer is B
A. Urinary urgency refers to a sudden, compelling need to urinate, which may or may not be accompanied by frequency (i.e., the need to urinate often). Urgency alone does not necessarily indicate urinary incontinence but rather may suggest conditions like overactive bladder or urge incontinence. This finding is not the most characteristic sign of urinary incontinence but rather a symptom of specific types of incontinence or bladder conditions.
B. Loss of urine when laughing, coughing, or sneezing is indicative of stress urinary incontinence. This type of incontinence occurs when physical activities that increase abdominal pressure (such as coughing, sneezing, or laughing) lead to involuntary leakage of urine. It is a common and classic symptom of stress urinary incontinence.
C. Urinary hesitancy refers to difficulty starting the urine stream or a delay in beginning urination. This symptom is more commonly associated with obstructive urinary conditions or prostatic issues in males rather than incontinence. It does not typically characterize urinary incontinence, which is more related to involuntary leakage rather than difficulties initiating urination.
D. Hematuria is the presence of blood in the urine and can be a sign of various urological issues such as infections, stones, or tumors. It is not a typical finding associated with urinary incontinence, which involves involuntary leakage rather than the presence of blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","D","E"]
Explanation
A. Anxiety disorders are commonly associated with eating disorders. Individuals with eating disorders may experience excessive worry, fear, or panic, which can contribute to their disordered eating behaviors.
B. While sleep disturbances are common in individuals with eating disorders, breathing-related sleep disorders are not typically associated with them.
C. Schizophrenia is a severe mental illness characterized by delusions, hallucinations, and disorganized thinking. It is not typically associated with eating disorders.
D. OCD is often comorbid with eating disorders. Individuals with OCD may have obsessive thoughts about food, weight, or body image, leading to compulsive behaviors such as excessive exercise or restrictive eating.
E. Depression is one of the most common comorbidities associated with eating disorders. Individuals with eating disorders may experience feelings of sadness, hopelessness, and worthlessness, which can contribute to their disordered eating behaviors.
Correct Answer is B
Explanation
A. Keeping spare crutch tips handy is a proactive approach to ensure that if the current tips become worn out or damaged, they can be replaced promptly. This helps maintain stability and prevent accidents.
B. Proper use of crutches involves bearing weight on the hands and not on the armpits. If a client bears weight on the armpits, it can lead to nerve damage and discomfort. The correct technique is to distribute weight through the hands and wrists while using the crutches for support, not directly on the armpits.
C. Regular inspection of crutches for signs of wear is important for safety. Checking for issues like worn tips, loose fittings, or damaged parts helps prevent accidents and ensures that the crutches are functioning properly.
D. This statement indicates a need for further teaching. Using crutches that are not specifically fitted for the client can lead to improper use and potential injury. Crutches should be properly adjusted to the user's height and needs. If the crutches from another person are not correctly sized or adjusted, they may not provide adequate support or safety.
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