Questions 33

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Urinary NCLEX RN Questions Questions

Extract:

The following scenario applies to the next 1 items
The student nurse is assisting the nurse in caring for a 31-year-old female in the outpatient clinic.
Item 1 of 1
Nurses' Note
1415: The client requested her annual physical be moved up because of urinary symptoms that started nine months ago. She states that she has managed so far with them, but she is starting a new traveling job and would like to get any necessary treatment. She states that every time she laughs or sneezes, she leaks a small amount of urine. She reports that this also occurs while performing intense physical exercise. The symptoms occur daily. She denies increased frequency, urgency, and burning upon urination. She denies having any vaginal discharge. She was treated for a urinary tract infection two months ago with antibiotics.

Diagnostic Results
1500:
Bladder scan - post-void residual
20 mL

Medical History
• Chronic low back pain following a motor vehicle crash
• Obstetric history - G = 2, T = 2 (vaginal deliveries), P = 0, A = 0, L = 2


Question 1 of 5

The nurse reviews the concept of urinary incontinence, its causes, and symptoms with the student nurse. Click to specify if the causes or symptoms are consistent with the disease process of stress incontinence, overflow incontinence, or urge incontinence.

Causes or clinical manifestations Stress Incontinence Overflow Incontinence Urge Incontinence
Urine loss with physical exertion, cough, sneeze, or exercise
Palpable bladder during assessment
Caused by neurologic disorders, such as multiple sclerosis or spinal cord damage
Caused by vaginal prolapse from vaginal birth or aging
Caused by bladder irritants, such as artificial sweeteners, caffeine, alcohol
Caused by constipation
Loss of large amounts of urine with each occurrence

Correct Answer: A: Stress incontinence, B: Overflow incontinence, C: Urge incontinence, D: Stress incontinence, E: Urge incontinence, F: Overflow incontinence, G: Overflow incontinence

Rationale: Stress incontinence involves urine loss with exertion. Overflow incontinence is associated with palpable bladder, constipation, and large urine loss. Urge incontinence is linked to neurologic disorders and bladder irritants.

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Question 2 of 5

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Question 5 of 5

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