An 86-year-old patient is experiencing uncontrollable leakage of ...

[nummyann]

An 86-year-old patient is experiencing uncontrollable leakage of urine with a strong desire to void and even leaks on the way to the toilet. Which priority nursing diagnosis will the nurse include in the patient's plan of care?
 
  a. Functional urinary incontinence
  b. Urge urinary incontinence
  c. Impaired skin integrity
  d. Urinary retention

Question 2

The nurse, upon reviewing the history, discovers the patient has dysuria. Which assessment finding is consistent with dysuria?
 
  a. Blood in the urine
  b. Burning upon urination
  c. Immediate, strong desire to void
  d. Awakes from sleep due to urge to void

[macagnavarro]

Answer to Question 1

ANS: B
Urge urinary incontinence is the leakage of urine associated with a strong urge to void. Patients leak urine on the way to or at the toilet and rush or hurry to the toilet. Urinary retention is the inability to empty the bladder. Functional urinary incontinence is incontinence due to causes outside the urinary tract, such as mobility or cognitive impairments. While Impaired skin integrity can occur, it is not the priority at this time, and there is no data to support this diagnosis.

Answer to Question 2

ANS: B
Dysuria is burning or pain with urination. Hematuria is blood in the urine. Urgency is an immediate and strong desire to void that is not easily deferred. Nocturia is awakening form sleep due to urge to void.