An older adult client is suffering from urinary incontinence.
Which statement from the client suggests they have overflow incontinence?

Choice A rationale

Encouraging fluids with meals is not the best choice for a client who has HIV. While hydration is important, drinking fluids with meals can fill the stomach and decrease the client’s appetite, potentially leading to inadequate nutrient intake.

Choice B rationale

Offering small, frequent meals is a recommended intervention for a client who has HIV. This approach can help to maximize nutrient intake and manage symptoms such as nausea and early satiety. This is the correct choice.

Choice C rationale

While fresh fruits and vegetables are generally part of a healthy diet, they may not be appropriate for all clients with HIV. Some individuals may have difficulty digesting these foods, and others may be at risk of infection from uncooked produce.

Choice D rationale

Providing a diet of pureed foods is not a standard intervention for clients with HIV. This approach may be necessary for individuals with certain conditions or symptoms, but it is not applicable to all clients with HIV23.

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.