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 C
Explanation
A. While holding the client’s arm might seem like a supportive action, it is not the most effective method to prevent a fall. If a client begins to fall, holding their arm could result in injury to either the client or the nurse, as it does not provide adequate control to prevent the fall. Instead, more proactive measures should be taken to safely manage the situation.
B. Assuming a narrow base of support (standing with feet close together) is actually less stable and can increase the risk of falling. To effectively prevent or manage a fall, the nurse should assume a wide base of support (feet apart) to enhance stability and balance.
C. If a fall is imminent and cannot be prevented, the best approach is to safely lower the client to the floor to minimize the risk of injury. The nurse should support the client’s body as they go down, guiding them gently to the floor to avoid a sudden impact. This technique helps reduce the potential for serious injuries such as fractures or head trauma.
D. Leaning the client toward the wall might provide temporary support but does not fully address the risk of a fall. It may also place the client in an awkward or unsafe position. The best approach is to take more direct action to prevent the fall or safely lower the client if the fall is unavoidable.
Correct Answer is B
Explanation
A. While iron is crucial for overall health, its primary role in infants is not specifically related to vision development. Iron is essential for many bodily functions, including oxygen transport and brain development, but the statement about vision development is not directly relevant to the primary reasons for iron supplementation in infants.
B. This is a key point to include in the teaching. Iron stores that infants are born with start to deplete around 4-6 months of age. This is why iron-fortified formula or iron-rich complementary foods are recommended to prevent iron deficiency anemia, as breast milk alone may not provide sufficient iron after this period.
C. Iron is important for overall growth and development, including the development of red blood cells and cognitive functions. However, the specific facilitation of bone growth is more directly related to other nutrients like calcium and vitamin D.
D. Iron absorption can be a concern, but this statement is not entirely accurate. Iron in formula is typically well-absorbed, especially in iron-fortified formulas designed for infants. The goal of providing iron-fortified formula is to ensure that the infant receives an adequate amount of iron, which is absorbed effectively to support their growing needs.
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