The nurse is caring for a patient with the nursing diagnosis of ...

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The nurse is caring for a patient with the nursing diagnosis of Urge urinary incontinence related to urinary tract infection. Which statement is appropriate for the as evidenced by portion of the patient's diagnosis?
 
  a. Sudden leakage of urine when patient is unable to get to the toilet in time.
  b. Continuous urine flow from the bladder regardless of attempts to use the toilet
  c. Leakage of urine from the bladder when the patient coughs, sneezes, or laughs
  d. Leakage of urine because the patient is unable to indicate need to use the toilet

Question 2

The nurse is caring for a patient with an indwelling urinary catheter caused by severe prostate enlargement. Which is the priority nursing diagnosis for this patient?
 
  a. Risk for infection r/t indwelling urinary catheter
  b. Disturbed body image r/t presence of catheter
  c. Risk for contamination r/t potential leakage of urine on clothing
  d. Urinary retention r/t blockage of bladder outlet

[Meganchabluk]

Answer to Question 1

ANS: A
Urge urinary incontinence occurs when the patient has a sudden need to urinate but cannot get to the toilet in time. Continuous flow of urine is deemed total urinary incontinence. Leakage of urine when sneezing or coughing is stress incontinence. Functional incontinence occurs when the patient cannot indicate need to use the toilet.

Answer to Question 2

ANS: A
The presence of an indwelling urinary catheter puts the patient at high risk for urinary tract infection, and this is the highest priority diagnosis for the patient. Disturbed body image is not as important as the risk of infection. Risk for contamination does not relate to spillage of urine on clothing. Urinary retention was corrected by placement of the urinary catheter.

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TY

[Meganchabluk]

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