Which of the following nursing interventions is appropriate for managing urinary incontinence?

Encouraging fluid intake to increase urine output

Providing frequent reminders for the client to use the restroom

Encouraging the client to perform Kegel exercises regularly

Limiting the client's access to the restroom to promote bladder control

Answer and Explanation

The Correct Answer is C

Choice a reason: Encouraging fluid intake to increase urine output is not the most effective intervention for managing urinary incontinence. While adequate hydration is important, simply increasing fluid intake can exacerbate the symptoms of incontinence and lead to more frequent episodes of urine leakage.
Choice b reason: Providing frequent reminders for the client to use the restroom can be helpful in managing incontinence, especially in individuals who may have cognitive impairments or are forgetful. However, it is not the most effective intervention compared to exercises that strengthen the pelvic floor muscles.
Choice c reason: Encouraging the client to perform Kegel exercises regularly is the most appropriate intervention for managing urinary incontinence. Kegel exercises help strengthen the pelvic floor muscles, which support the bladder and urethra, and can improve bladder control. Regular practice of these exercises has been shown to reduce the symptoms of incontinence significantly.
Choice d reason: Limiting the client's access to the restroom to promote bladder control is not an appropriate intervention. This approach can increase the risk of urinary retention and lead to complications such as urinary tract infections. It is more important to promote regular voiding patterns and encourage the use of techniques that improve bladder control.

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Correct Answer is D

Explanation

Choice a reason: Chest congestion is not a sign of cystitis. Chest congestion is typically associated with respiratory conditions, such as bronchitis or pneumonia, and involves the buildup of mucus in the lungs. Cystitis affects the urinary bladder, not the respiratory system.
Choice b reason: Fever can sometimes accompany cystitis, especially if the infection is severe or has spread to the kidneys (pyelonephritis). However, it is not the most common symptom of cystitis. The primary signs and symptoms of cystitis are related to the urinary tract.
Choice c reason: Abdominal pain can be a symptom of cystitis, particularly pain in the lower abdomen or pelvic region. This pain is due to inflammation and irritation of the bladder lining. While it is a common symptom, it is not the definitive sign of cystitis.
Choice d reason: Increased urinary frequency is a hallmark sign of cystitis. Patients with cystitis often feel the need to urinate more frequently than usual, even if the bladder is not full. This symptom is due to the irritation and inflammation of the bladder, leading to a persistent urge to urinate. Other symptoms that typically accompany this include a burning sensation during urination and urgency.

A. Take patient's blood pressure B. Call the physician C. Apply pressure to access site D. Notify the dialysis nurse

Correct Answer is C

Explanation

Choice a reason: Taking the patient's blood pressure is not the first action to take in this situation. While monitoring vital signs is important, the immediate priority is to stop the bleeding. Addressing the bleeding at the access site takes precedence to prevent excessive blood loss and potential complications.
Choice b reason: Calling the physician is not the first action to take when the nurse notes bleeding from the vascular access site. While notifying the physician is important, the initial step must be to control the bleeding to ensure the patient's safety and stability.
Choice c reason: Applying pressure to the access site is the appropriate first action. This step is crucial to stop the bleeding and prevent further blood loss. Applying direct pressure helps to control the bleeding immediately, which is the primary concern in this situation. Once the bleeding is controlled, further actions such as notifying the physician and documenting the incident can be taken.
Choice d reason: Notifying the dialysis nurse is also not the first action to take. While it is important to inform the dialysis nurse and other members of the healthcare team, the priority is to control the bleeding by applying pressure to the access site. Once the bleeding is under control, the dialysis nurse can be notified to ensure proper follow-up and care.

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Which of the following nursing interventions is appropriate for managing urinary incontinence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a sign of cystitis?

Correct Answer is D

Explanation

The patient is returning to the medical-surgical unit after a dialysis session. The nurse notes bleeding from the patient’s vascular access in the left arm. Which of the following is the nurse’s first action?

Correct Answer is C

Explanation

A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?

The nurse is planning a teaching session for a patient on preventing urinary tract infections. Which of the following information should the nurse include in the teaching? Select all that apply.

The nurse is collecting data on a patient admitted for symptoms of renal insufficiency. Which factor will cause the nurse to suspect prerenal injury?

A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?

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What is the appropriate action to take if a client has a known allergy to IV dye used in CT scans?

A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?

Which of the following is a common sign and symptom of a urinary tract infection (UTI)?