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 C

Explanation

A. Antidepressant: Antidepressants are not typically associated with a high risk of thrombophlebitis.

B. Antihypertensive: Antihypertensives generally do not increase the risk of thrombophlebitis.

C. Oral contraceptive: Oral contraceptives are known to increase the risk of thrombophlebitis due to their effect on blood clotting factors.

D. Antilipid agent: Antilipid agents, such as statins, do not commonly cause thrombophlebitis.

A. Chest pain B. Orthopnea C. Edema D. Palpitations

Correct Answer is B

Explanation

A. Chest pain: This symptom is important but does not specifically correlate with difficulty sleeping unless upright.

B. Orthopnea: Difficulty breathing while lying flat (orthopnea) is typically associated with heart failure and would require further investigation to understand its impact on the client's sleep.

C. Edema: While edema can be a sign of cardiovascular problems, it does not directly explain the difficulty in sleeping unless in an upright position.

D. Palpitations: Palpitations might affect sleep but are less directly linked to the need to sleep upright compared to orthopnea.

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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

A 42-year-old woman reveals an intake of medications. Which medication if reported by the client would alert the nurse to the need to assess the client for thrombophlebitis?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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