Chapter 31: Urinary Elimination and Care

Question 1 of 5

Functional incontinence

A. Incontinence related to inability to get to the bathroomB. The brain does not receive a message that the bladder is fullC. Incontinence related to bladder spasms and contractionsD. The bladder does not empty because of an obstructionE. Incontinence related to weak pelvic floor musclesF. Loss of urine with no warning

Correct Answer: A

Rationale: Functional incontinence results from physical or cognitive inability to reach the bathroom in time.

Question 2 of 5

Total incontinence

A. Incontinence related to inability to get to the bathroomB. The brain does not receive a message that the bladder is fullC. Incontinence related to bladder spasms and contractionsD. The bladder does not empty because of an obstructionE. Incontinence related to weak pelvic floor musclesF. Loss of urine with no warning

Correct Answer: F

Rationale:
Total incontinence involves continuous urine leakage without warning or control.

Question 3 of 5

Neuropathic incontinence

A. Incontinence related to inability to get to the bathroomB. The brain does not receive a message that the bladder is fullC. Incontinence related to bladder spasms and contractionsD. The bladder does not empty because of an obstructionE. Incontinence related to weak pelvic floor musclesF. Loss of urine with no warning

Correct Answer: B

Rationale: Neuropathic incontinence occurs when nerve damage prevents the brain from receiving signals that the bladder is full.

Question 4 of 5

Your patient has stress incontinence. Which of the following statements represent recommended treatment for this problem?

A. Suggest the patient wear incontinence pads in a comfortable style with adequate absorbency.B. Tell the patient that there are medications available to help with stress incontinence and that the doctor will discuss them with her.C. Tell the patient to avoid abdominal exercises, which can cause stress incontinence.D. Tell the patient about Kegel exercises.

Correct Answer: A,D

Rationale: Incontinence pads manage symptoms, and Kegel exercises strengthen pelvic floor muscles to treat stress incontinence.

Question 5 of 5

You are teaching bladder retraining to the patient with incontinence. She tries the plan and reports back to you about her progress. 'I tried going to the bathroom every 2 hours like you said, but I just sit there. I'm trying now to just go when I feel the urge, which is about every 3 hours. I'm still having accidents about half the time, which is a big improvement.' Which of the following statements should you make in response to the patient's comment?

A. That's great. Keep up that pattern. It sounds like it's working.B. Waiting until you feel the urge defeats the purpose of a bladder retraining program. It sounds like you haven't really implemented the program. You should go back to trying to void every 2 hours to train your bladder to empty when you want it to.C. It sounds like bladder retraining isn't working for you, but that paying greater attention to the urge to go is.D. This is good information, but waiting for the urge to go is not going to retrain your bladder. Try toileting yourself every 2½ hours. Do this for several days to a week and then let me know the results.

Correct Answer: D

Rationale: Adjusting the interval to 2½ hours may help the patient adhere to a scheduled voiding program, which is essential for bladder retraining.

Chapter 31: Urinary Elimination and Care - Nurselytic

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Chapter 31 : Urinary Elimination and Care Questions

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