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 B
Explanation
Choice A rationale
While it’s true that there are other ways to express intimacy besides intercourse, this response may not address the patient’s specific concern about sexual function following an orchiectomy.
Choice B rationale
This response directly addresses the patient’s concern. The removal of a single testicle does not typically prevent a man from having an erection or enjoying sexual activity.
Choice C rationale
While focusing on recovery is important, this response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his concerns are being dismissed.
Choice D rationale
This response may not be helpful to the patient. It does not address his concern about sexual function and may make him feel that his feelings are being minimized.
Correct Answer is A
Explanation
Ulcerative colitis is a chronic inflammatory bowel disease that increases the risk of colorectal cancer. Long-standing ulcerative colitis causes continuous inflammation and damage to the cells of the colon, which can lead to cancer over time.
Choice B rationale
Chronic constipation does not directly increase the risk of colorectal cancer. However, a diet low in fiber and high in fat and red meat, which can contribute to constipation, is associated with an increased risk of colorectal cancer.
Choice C rationale
Biliary colic is a symptom of gallstones and is not a risk factor for colorectal cancer.
Choice D rationale
Duodenal ulcers are a type of peptic ulcer disease and are not a risk factor for colorectal cancer.
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