Chapter 31: Urinary Elimination and Care - Nurselytic

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Chapter 31 : Urinary Elimination and Care Questions

Question 1 of 5

Neuropathic incontinence

Correct Answer: B

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

Question 2 of 5

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

Correct Answer: A,D

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

Question 3 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?

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.

Question 4 of 5

The nursing assistant tells you that Mrs. White gained 3 pounds since her daily weigh the previous morning. You are most concerned that Mrs. White

Correct Answer: B

Rationale: A 3-pound weight gain in 24 hours likely indicates fluid retention (1 kg ? 1 liter), equivalent to about 1.5 liters, which requires further assessment.

Question 5 of 5

An indwelling catheter has a balloon that keeps the catheter in place.

Correct Answer: A

Rationale: An indwelling catheter, such as a Foley, has a balloon inflated with sterile water to secure it in the bladder.

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