The nurse is interviewing a client who states the presence of urinary incontinence with coughing and sneezing.
The nurse would correctly document this type of incontinence as which of the following?
Functional.
Reflex.
Stress.
Urge.
The Correct Answer is C
Choice A rationale
Functional incontinence occurs when an individual cannot reach the bathroom in time due to physical or cognitive limitations. It is not related to stress or pressure on the bladder but rather to external factors that impede timely access to toileting facilities.
Choice B rationale
Reflex incontinence is characterized by involuntary loss of urine due to a lack of signal awareness or detrusor muscle overactivity. It is typically associated with neurological conditions such as spinal cord injuries or multiple sclerosis. This type of incontinence does not involve stress-related triggers like coughing or sneezing.
Choice C rationale
Stress incontinence involves the involuntary leakage of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or physical exertion. This type of incontinence is commonly seen in women, particularly after childbirth or during menopause, due to weakened pelvic floor muscles or sphincter dysfunction.
Choice D rationale
Urge incontinence is characterized by a sudden and intense urge to urinate, often resulting in involuntary urine leakage before reaching the bathroom. It is typically caused by overactive bladder muscles or nerve signals and is not specifically triggered by actions like coughing or sneezing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Leukoplakia refers to white patches or plaques that develop on the mucous membranes of the oral cavity. It is usually seen as a precancerous condition and is associated with chronic irritation, smoking, or other risk factors. These white patches are not typically associated with redness and bleeding of the gums.
Choice B rationale
Gingival hyperplasia involves the overgrowth or enlargement of the gums. It can be due to various factors, including medications (such as anticonvulsants or calcium channel blockers), hormonal changes, or certain systemic conditions. While the gums may appear enlarged and possibly bleed, gingival hyperplasia is not characterized by redness and bleeding as primary symptoms.
Choice C rationale
Gingivitis is the inflammation of the gums (gingiva) and is characterized by redness, swelling, and bleeding. It is usually caused by plaque buildup along the gumline, leading to irritation and inflammation. Gingivitis is considered an early stage of gum disease and can be reversed with proper oral hygiene and dental care.
Choice D rationale
Periodontitis is an advanced stage of gum disease that occurs when gingivitis is left untreated. It involves the destruction of the supporting structures of the teeth, including the alveolar bone and periodontal ligaments. Symptoms of periodontitis include gum recession, pockets forming between the gums and teeth, and possible tooth loss. While periodontitis can lead to bleeding gums, it is more severe than the initial symptoms of redness and bleeding seen in gingivitis.
Correct Answer is D
Explanation
Choice A rationale
Scleroderma is a chronic autoimmune disorder characterized by hardening and tightening of the skin and connective tissues. While it affects the skin, it is unrelated to emphysema and bronchitis, making it an unlikely finding in this client.
Choice B rationale
Pedal erythema, or redness of the feet, can result from various causes, including infections, allergies, and circulatory issues. However, it is not commonly associated with emphysema and bronchitis, making it an unlikely finding in this client.
Choice C rationale
Anasarca is generalized body swelling due to fluid retention, often seen in severe heart failure, liver disease, and kidney failure. While this condition involves significant swelling, it is not typically linked to emphysema and bronchitis.
Choice D rationale
Clubbing of the nails is a common finding in chronic respiratory conditions like emphysema and bronchitis. It involves bulbous enlargement of the fingertips and nail curvature, resulting from prolonged low oxygen levels, making it a likely finding in this client.
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