1415: The client requested her annual physical be moved up because of urinary symptoms that started nine months ago. She states that she has managed so far with them, but she is starting a new traveling job and would like to get any necessary treatment. She states that every time she laughs or sneezes, she leaks a small amount of urine. She reports that this also occurs while performing intense physical exercise. The symptoms occur daily. She denies increased frequency, urgency, and burning upon urination. She denies having any vaginal discharge. She was treated for a urinary tract infection two months ago with antibiotics.
1500:
Bladder scan - post-void residual
20 mL
- Chronic low back pain following a motor vehicle crash
- Obstetric history - G = 2, T = 2 (vaginal deliveries), P = 0, A = 0, L = 2
The nurse reviews the concept of urinary incontinence, its causes, and symptoms with the student nurse.
➢ Click to specify if the causes or symptoms are consistent with the disease process of stress incontinence, overflow incontinence, or urge incontinence.
Note: Each column must have at least one (1) response option selected.
- A. Urine loss with physical exertion, cough, sneeze, or exercise
- B. Palpable bladder during assessment
- C. Caused by neurologic disorders, such as multiple sclerosis or spinal cord damage
- D. Caused by vaginal prolapse from vaginal birth or aging
- E. Caused by bladder irritants, such as artificial sweeteners, caffeine, alcohol
- F. Caused by constipation
- G. Loss of large amounts of urine with each occurrence
Sign in to reveal the correct answer & rationale
A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.