The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

The client will perform four to five isometric squeezes for 5 to 10 seconds.

The client will empty her bladder completely each time she voids.

The client will improve her incontinence within one month.

The client will stop the ﬂow of urine when voiding.

Answer and Explanation

The Correct Answer is A

Stress urinary incontinence is the involuntary loss of urine during physical activity such as coughing, sneezing, or exercising. It is often caused by weakness of the pelvic ﬂoor muscles and/or the urethral sphincter. An appropriate outcome for a client with this condition would be to improve the strength of these muscles. Performing isometric squeezes, also known as Kegel exercises, can help strengthen the pelvic ﬂoor muscles and improve sphincter competence. This can help reduce or prevent episodes of incontinence.

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Correct Answer is B

Explanation

The nurse would question the discharge of a client to be cared for by the family if the client and family lack knowledge of the treatment regimen. It is important for the client and family to have a good understanding of the treatment regimen in order to provide safe and eﬀective care at home. The other options (The client will need sterile dressing changes, The client will be discharged with a feeding tube, and The client will be receiving IV medications by home health nurses) are not situations that would necessarily prevent discharge to be cared for by the family.

A. Stage 3 B. Stage 4 C. Stage 2 D. Stage 1

Correct Answer is C

Explanation

A client who has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital is experiencing Stage 2 of illness. Stage 2 is known as the prodromal period, during which the symptoms of illness begin to appear ². The other options (Stage 1, Stage 3, and Stage 4) are not correct.

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The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse has performed an assessment of a client scheduled for discharge to be cared for by the family. Which situation would the nurse question regarding discharge of this client to be cared for by the family?

Correct Answer is B

Explanation

A client has accepted the fact that they need bypass surgery for a blocked artery and has been admitted to the hospital. Which one of the following stages of illness is this client experiencing?

Correct Answer is C

Explanation

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The nurse is identifying outcomes for a client with the nursing diagnosis of Stress Urinary Incontinence. Which outcome would be related to sphincter incompetence?

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