Mrs. LaFarge is a 60-year-old who presents with urinary incontinence. She is unable to get to the bathroom quickly enough when she senses the need to urinate. She has normal mobility. Which of the following is most likely?

Correct Answer: B

Rationale: The correct answer is B: Urge incontinence. This is because Mrs. LaFarge is described as having urgency (not being able to get to the bathroom quickly) which is characteristic of urge incontinence. Stress incontinence (choice A) is associated with leakage of urine during activities that increase intra-abdominal pressure. Overflow incontinence (choice C) is characterized by incomplete bladder emptying leading to constant dribbling of urine. Functional incontinence (choice D) is due to physical or cognitive impairments that prevent a person from reaching the toilet in time. In this case, the inability to get to the bathroom quickly is more indicative of urge incontinence.

Correct Answer: D

Rationale: The correct answer is D: Rotating the lens selector dial to the red numbers to compensate for myopia. This is the correct technique because red numbers on the lens selector dial indicate the adjustment for nearsightedness (myopia) by adding concave lenses. This adjustment helps in achieving a clear view of the retina in myopic patients. A: Using the large full circle of light when assessing pupils that are not dilated is incorrect because a smaller circle of light is preferred for assessing undilated pupils to reduce glare. B: Rotating the lens selector dial to the black numbers to compensate for astigmatism is incorrect because astigmatism is corrected by adjusting the cylindrical power, not by using black numbers on the lens selector dial. C: Using the grid on the lens aperture dial to visualize the external structures of the eye is incorrect as the grid is typically used for focusing and not for visualizing external structures.

Correct Answer: C

Rationale: The correct answer is C: "I will soak my feet in hot water every evening." Soaking feet in hot water can lead to dryness, skin irritation, and potential burns. It is not recommended for foot care. A: Wearing cotton socks helps keep feet dry. B: Inspecting feet daily is important to identify any cuts or sores early. D: Trimming toenails straight across can help prevent ingrown nails. Overall, the incorrect choice (C) poses risks to foot health compared to the other options.

Correct Answer: A

Rationale: The correct answer is A because placing the client on the back with a small pillow under the head can increase the risk of aspiration for stroke patients. The rationale is that this position can cause the tongue to obstruct the airway, leading to difficulty swallowing and potentially causing aspiration pneumonia. B: Keeping portable suctioning equipment at the bedside is important for immediate intervention in case of oral secretions or choking. C: Opening the client's mouth with a padded tongue blade can help provide better access for oral hygiene procedures. D: Cleaning the client's mouth and teeth with a toothbrush is a crucial nursing measure to prevent oral health issues and maintain overall hygiene.

Correct Answer: A

Rationale: The correct answer is A: Contact the patient and reschedule. This is the most appropriate action because it allows for communication with the patient to confirm their absence and to reschedule the therapy session. It shows professionalism, concern for the patient's well-being, and ensures continuity of care. Choice B (Notify the patient's insurance provider) is incorrect as it does not address the immediate need to reschedule the therapy session. Choice C (Notify the referring physician) is also incorrect as the therapist should first attempt to directly contact the patient. Choice D (Discharge the patient from physical therapy) is not appropriate without attempting to contact the patient first and providing an opportunity to reschedule.