A 45-year-old mother of two children is seen at the clinic for ...

[shofmannx20]

A 45-year-old mother of two children is seen at the clinic for complaints of losing my urine when I sneeze. The nurse documents that she is experiencing:
 
  a. Urinary frequency.
  b. Enuresis.
  c. Stress incontinence.
  d. Urge incontinence.

Question 2

Which of these statements is most appropriate when the nurse is obtaining a genitourinary history from an older man?
 
  a. Do you need to get up at night to urinate?
  b. Do you experience nocturnal emissions, or 'wet dreams'?
  c. Do you know how to perform a testicular self-examination?
  d. Has anyone ever touched your genitals when you did not want them to?

[ciecieme]

Answer to Question 1

ANS: C
Stress incontinence is involuntary urine loss with physical strain, sneezing, or coughing that occurs as a result to weakness of the pelvic floor. Urinary frequency is urinating more times than usual (more than five to six times per day). Enuresis is involuntary passage of urine at night after age 5 to 6 years (bed wetting). Urge incontinence is involuntary urine loss from overactive detrusor muscle in the bladder. It contracts, causing an urgent need to void.

Answer to Question 2

ANS: A
The older male patient should be asked about the presence of nocturia. Awaking at night to urinate may be attributable to a diuretic medication, fluid retention from mild heart failure or varicose veins, or fluid ingestion 3 hours before bedtime, especially coffee and alcohol. The other questions are more appropriate for younger men.

[shofmannx20]

Correct answers!

[ciecieme]

Great! Please up vote