A client has been admitted with incontinence. Which of the ...

[Mr. Wonderful]

A client has been admitted with incontinence. Which of the following findings would the nurse expect to assess in this client?
 
  1. Client is wearing cotton undergarments.
  2. Leakage of urine occurs when client laughs.
  3. Leakage of urine occurs when talking with the client.
  4. Skin of the client is clear without discoloration.

Question 2

Which of the following desired client outcomes is correct for a client with the nursing diagnosis Stress Urinary Incontinence related to sphincter incompetence?
 
  1. The client will empty her bladder every time she voids.
  2. The client will improve her incontinence within 1 month.
  3. The client will perform four to five squeezes for 5 to 10 seconds.
  4. The client will stop the flow of urine when voiding.

[Cnarkel]

Answer to Question 1

Correct Answer: 2
Rationale 1: A client with incontinence would wear some kind of undergarment pad. Cotton undergarments alone would not provide protection for catching the urine.
Rationale 2: Incontinence involves a small leakage of urine when a client laughs.
Rationale 3: Incontinence does not occur if a client just carries on a conversation.
Rationale 4: If the client has been experiencing incontinence, the nurse might expect to see the skin inflamed and irritated because urine is very irritating to the skin.

Answer to Question 2

Correct Answer: 3
Rationale 1: Emptying the bladder completely every time she voids would not be realistic in the beginning. This will take time.
Rationale 2: Improved continence takes 3 to 6 months, so 1 month is not a realistic goal.
Rationale 3: Performing four to five squeezes for 5 to 10 seconds is the goal to start with when teaching a client Kegel exercises, which are used for stress and urge incontinence.
Rationale 4: Clients are not instructed to stop the flow of urine when voiding because this could lead to retention.

[Mr. Wonderful]

Thank you!

[Cnarkel]

Always glad to help...