A patient tells the nurse, Every time I laugh or cough, I wet ...

[ericka1]

A patient tells the nurse, Every time I laugh or cough, I wet myself. Which type of urinary in-continence is this patient describing?
 
  a. Urge
  b. Functional
  c. Stress
  d. Mixed

Question 2

Which of the following nursing interventions should be implemented to prevent dehydration in hospitalized older adults? (Select all that apply.)
 
  a. Implementing intake and output recording for any patients with fever, diarrhea, vom-iting, or an infection
  b. Limiting duration of NPO requirements for diagnostic tests and procedures
  c. Administering IV fluids to all hospitalized older adults
  d. Limiting the use of diuretic medications in hospitalized older adults
  e. Making sure that hospitalized patients have easy access to fluids

[huda]

Answer to Question 1

ANS: C
Stress incontinence is defined as the loss of a small amount urine with activities that increase in-traabdominal pressure such as coughing, sneezing, exercise, lifting, or bending.

Answer to Question 2

ANS: A, B, E
In order to prevent dehydration, it is essential to closely monitor hospitalized older adults. Any individual who develops fever, diarrhea, vomiting, or an infection should be monitoring closely by implementing intake and output records and providing additional fluids. NPO requirements for diagnostic tests and procedures should be as short as possible. It is not appropriate to admin-ister IV fluids to all hospitalized older adults. IV fluids are administered when there is a clinical indication. It is not appropriate to limit the use of diuretics. Diuretics are an important treatment for many older patients. Hydration management involves acute and ongoing management of oral intake. Oral hydration is the first line of treatment for dehydration prevention.