Author Question: A 60-year-old female client who is experiencing stress urinary incontinence is not considered a good ... (Read 78 times)

kwoodring · **on:** Jul 16, 2018

A 60-year-old female client who is experiencing stress urinary incontinence is not considered a good candidate for surgical repair of the problem. Her healthcare provider recommends a pessary. Which of the following describes this treatment?

A) A small electrode connected to a generator is placed in the vagina or rectum.
B) The healthcare provider applies firm, gentle pressure above the bladder.
C) A device is inserted into the vagina to support the organs of the pelvis.
D) A computer is used to monitor how well the client does Kegel exercises.

Question 2

A 3-month-old infant is diagnosed with spina bifida. Which of the following information should be included in parent teaching?

A) Use only cotton diapers.
B) Avoid plastic diapers.
C) Avoid rubber toys.
D) Give protein-rich food.

gstein359 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Feedback:
Pessary placement is a nonsurgical option for females with stress urinary incontinence. A pessary is a device that is inserted into the vagina to support the organs of the pelvis. With electrical stimulation, a small electrode connected to a generator is placed in the vagina or rectum. In Cred's maneuver, the healthcare provider applies firm, gentle pressure above the bladder. Biofeedback uses a computer or other electronic device to help monitor how well the client can do Kegel exercises.

Answer to Question 2

C
Feedback:
The nurse should instruct the parents to avoid providing the child with rubber toys, because children with spina bifida tend to be extremely sensitive to rubber. Clients with cystic fibrosis are given protein-rich food. Children with diaper rashes should wear only cotton diapers and avoid plastic diapers.