Which type of incontinence refers to the involuntary loss of urine through an intact urethra due to a sudden increase in intra-abdominal pressure?
"Stress
Overflow
Reflex
Urge
The Correct Answer is A
A. Stress — Stress incontinence is the involuntary loss of urine due to a sudden increase in intra-abdominal pressure (e.g., from coughing, sneezing, laughing, or physical activity) with an intact urethra.
B. Overflow — Incorrect. Overflow incontinence occurs when the bladder cannot empty properly, leading to constant dribbling of urine.
C. Reflex — Reflex incontinence involves involuntary loss of urine at predictable intervals, often seen in clients with neurologic disorders (e.g., spinal cord injury), without awareness of the urge to void.
D. Urge — Urge incontinence is the sudden, intense urge to urinate followed by involuntary urine loss, typically caused by an overactive bladder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Bronchodilators are not typically indicated unless the client also has a reactive airway component such as asthma; they do not treat infection.
B. A new onset of fever and crackles in a client with sickle cell crisis raises concern for acute chest syndrome, a life-threatening complication often triggered by infection. Promptly informing the healthcare provider is the most appropriate action to initiate further diagnostic workup and treatment (e.g., antibiotics, imaging).
C. While supplemental oxygen may be needed, the first action should be to notify the provider to assess for infection and initiate appropriate treatment.
D. High-flow oxygen may be necessary in severe cases, but this decision is made after medical evaluation — not the nurse’s first independent action.
Correct Answer is C
Explanation
A. The potassium level of 3.6 mEq/L is within the normal range (3.5–5.0 mEq/L) and does not require follow-up.
B. Oxygen saturation of 97% on room air is normal and does not indicate a concern.
C. Blood pressure of 168/70 mm Hg indicates systolic hypertension, and a temperature of 38.1°C (100.6°F) suggests a possible hypermetabolic state or impending thyroid storm in the setting of hyperthyroidism — this combination requires follow-up. These findings may indicate worsening hyperthyroidism or progression toward a life-threatening complication.
D. Clear and present bilateral breath sounds are normal and do not warrant follow-up.
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