When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?

Stress incontinence

Obstructive incontinence

Overflow incontinence

Urge incontinence

Answer and Explanation

The Correct Answer is A

A. Stress incontinence: This occurs when urine leaks due to increased abdominal pressure from activities like coughing or laughing, indicating a weakness in the pelvic floor muscles.

B. Obstructive incontinence: This is not a recognized type of urinary incontinence; it may refer to urinary obstruction issues, which are different from stress incontinence.

C. Overflow incontinence: This involves leakage due to an overfilled bladder and is not typically related to activities that increase abdominal pressure.

D. Urge incontinence: This involves a sudden, intense urge to urinate and may lead to involuntary leakage, but it is not specifically linked to coughing or laughing.

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Correct Answer is B

Explanation

A. Systolic murmur: Systolic murmurs occur during systole and include conditions like aortic stenosis or mitral regurgitation.

B. Diastolic murmur: Aortic insufficiency/regurgitation occurs during diastole when the aortic valve fails to close properly, allowing blood to flow back into the left ventricle.

C. Absent murmur: Aortic insufficiency/regurgitation is not classified as absent; it is detectable with auscultation.

D. Very faint murmur: Although aortic regurgitation murmurs can vary in intensity, the classification pertains to the timing of the murmur, not its loudness.

A. Perform abdominal percussion, and then repeat auscultation. B. Palpate the client's abdomen to stimulate bowel motility. C. Repeat auscultation in four to six hours. D. Listen for five minutes before documenting an absence of bowel sounds.

Correct Answer is D

Explanation

A. Perform abdominal percussion, and then repeat auscultation: While percussion can provide additional information, the absence of bowel sounds should first be confirmed by listening for a longer period before moving to other techniques.

B. Palpate the client's abdomen to stimulate bowel motility: Palpation is not recommended to stimulate bowel sounds; it may alter the assessment.

C. Repeat auscultation in four to six hours: Immediate reassessment after five minutes of auscultation is preferable to prolonged waiting.

D. Listen for five minutes before documenting an absence of bowel sounds: To ensure accurate assessment, the nurse should listen for up to five minutes in each quadrant

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When the nurse is obtaining a health history of the urinary system, the client reports "leaking" urine when coughing or laughing. Which of the following problems is the client likely experiencing?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Aortic insufficiency/regurgitation murmur is classified as a:

Correct Answer is B

Explanation

The nurse is auscultating a client's abdomen and is unable to discern any bowel sounds. How should the nurse proceed with assessment?

Correct Answer is D

Explanation

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