An older adult client is suffering from urinary incontinence.
Which statement from the client suggests they have overflow incontinence?
I experience incontinence whenever I take a diuretic.
I leak urine when I sneeze.
My bladder seems to empty without warning.
I frequently experience dribbling of urine.
The Correct Answer is D
Choice A rationale
Experiencing incontinence whenever taking a diuretic may suggest a type of functional incontinence, where the incontinence is linked to the inability to reach a restroom due to the sudden urge to urinate caused by the diuretic23.
Choice B rationale
Leaking urine when sneezing is typically a symptom of stress incontinence, which occurs when pressure is placed on the bladder during physical movement or activity23.
Choice C rationale
A bladder that seems to empty without warning may suggest urge incontinence, which is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine23.
Choice D rationale
Frequently experiencing dribbling of urine is a common symptom of overflow incontinence, which occurs when the bladder doesn’t empty properly, leading to frequent or constant dribbling23.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Experiencing incontinence whenever taking a diuretic may suggest a type of functional incontinence, where the incontinence is linked to the inability to reach a restroom due to the sudden urge to urinate caused by the diuretic23.
Choice B rationale
Leaking urine when sneezing is typically a symptom of stress incontinence, which occurs when pressure is placed on the bladder during physical movement or activity23.
Choice C rationale
A bladder that seems to empty without warning may suggest urge incontinence, which is characterized by a sudden, intense urge to urinate followed by an involuntary loss of urine23.
Choice D rationale
Frequently experiencing dribbling of urine is a common symptom of overflow incontinence, which occurs when the bladder doesn’t empty properly, leading to frequent or constant dribbling23.
Correct Answer is A
Explanation
Choice A rationale
Oxybutynin works by relaxing the muscles in the bladder. This helps decrease muscle spasms and improve the ability to control urination, thereby reducing the frequency of urination.
Therefore, this choice is correct.
Choice B rationale
Oxybutynin does not block the nervous system impulse to produce urine. It works primarily by relaxing the bladder muscles. Therefore, this choice is incorrect.
Choice C rationale
Oxybutynin does not reduce the rate at which the kidneys filter waste. Its primary action is on the bladder muscles. Therefore, this choice is incorrect.
Choice D rationale
Oxybutynin does not decrease the sensitivity of the urethral sphincter. Its main effect is to relax the bladder muscles. Therefore, this choice is incorrect.
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