Author Question: The nurse is caring for a frustrated patient reports that she still involuntarily voids despite two ... (Read 76 times)

penza · **on:** Jun 25, 2018

The nurse is caring for a frustrated patient reports that she still involuntarily voids despite two surgeries to correct incontinence.

Which statement indicates that the patient accurately under-stands the nurse's teaching about incontinence management after surgery?
a. I will avoid wearing pads that can cause skin breakdown.
b. I will talk to my health care provider about a pessary.
c. I will have to have an indwelling cathe-ter.
d. I will have to have another surgery.

Question 2

The nurse is caring for a female patient who reports using an estrogen cream as a lubricant for sexual intercourse. The nurse should caution the patient about which potential negative effect?

a. Estrogen cream may damage latex con-doms.
b. Estrogen cream may exacerbate hot flash-es.
c. Estrogen cream may decrease elasticity of vaginal tissue.
d. Estrogen cream may cause contact derma-titis for sexual partners.

fur · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

B
When surgical measures do not solve the problem, incontinence may be managed by a variety of measures, including intermittent catheterization, indwelling urethral catheterization, suprapubic catheters, external collection systems (such as condom catheters), protective pads and garments, or pelvic organ support devices such as a pessary. The pessary may be useful in managing this patient's stress incontinence. The patient should utilize protective pads and garments. An in-dwelling catheter may or may not be necessary for this patient. There is no indication that the patient will require another surgery, especially since the previous two surgeries have not elimi-nated episodes on incontinence.

Answer to Question 2

A
Using estrogen cream as a lubricant for sexual intercourse is discouraged as the cream may damage latex condoms and require a backup method of contraception. Estrogen cream will not exacerbate hot flashes. Estrogen cream is used to increase vaginal tissue elasticity. While the partner can absorb estrogen from estrogen cream for sexual intercourse, contact dermatitis is not likely.