Chapter 14: Incontinence
Linton: Medical-Surgical Nursing, 7th Edition MULTIPLE CHOICE
1.What instruction should a nurse provide to a patient scheduled
... [Show More] for a postvoid residual (PVR) test?
a.Call the nurse immediately after voiding.
b.After voiding, wait 10 minutes and void again.
c.Void into a flowmeter.
d.Avoid fluid intake for 8 hours before the test.
ANS: A
The nurse must catheterize the patient immediately after voiding and measure the amount of urine.
2.Bladder training instructions are being given to a patient who has a history of urinary incontinence. What initial instructions should the nurse give to the patient?
a.“Wait until you feel the urge to void.”
b.“Don’t void any more often than every 4 to 6 hours.”
c.“Void every 2 to 3 hours while awake.”
d.“Void any time you feel the urge.”
ANS: C
Bladder training uses scheduled voiding; the patient is encouraged to delay voiding and void only every 2 to 3 hours while awake.
3.A male patient with urinary incontinence has been using an external (condom) catheter. A nurse is assessing the patient’s technique of applying the device. What techniques demonstrated by the patient would indicate the need for further instruction?
a.Washes the penis with warm soapy water and dries the area well before applying the device.
b.Encircles the penis with tape to secure the device.
c.Uses elastic tape and wraps in a spiral pattern to secure the device.
d.Carefully assesses the penis for any signs of irritation before applying the device.
ANS: B
MESUGE 3 CHAPTER 14 EXAM
Encircling the penis with tape can restrict circulation and cause damage to the tissue.
4.A patient being assessed by the physician states, “I wet my pants every time I cough.” The nurse recognizes this as which type of incontinence?
a.Reflex
b.Overflow
c.Urge
d.Stress
ANS: D
Stress incontinence is the involuntary loss of small amounts of urine during physical activity that increases abdominal pressure, such as coughing, laughing, sneezing, and lifting.
5.What instruction should a nurse provide to a patient who has been diagnosed with stress incontinence?
a.“Restrict fluid intake to less than 1000 mL/day.”
b.“Avoid fluids such as tea, coffee, and cola.”
c.“Delay voiding until you feel the urge to void.”
d.“Void no more often than every 4 hours.”
ANS: B
Fluids such as tea, coffee, and cola [Show Less]