Urinary Elimination

Urinary Elimination Case Study

A 70 -year old female client complains of increasing incontinence with laughing, sneezing and coughing. She also feels the urge to urinate frequently. She finds this both embarrassing and uncomfortable. She wants to know why this is happening and what can be done to prevent this.

Based on the client's symptoms, how should the nurse document this finding in the client’s healthcare record?

When taking the client's medical history, the nurse knows which statement is a risk factor for stress incontinence?

The nurse is performing a focused physical assessment on this client. The nurse knows that incontinence puts the client at risk for what physical finding?

The client states she has been limiting the amount she drinks during the day to avoid an incontinent episode. The nurse knows this puts the client at risk for what? (Select all that apply.)

The nurse provides education to the client on lifestyle modifications to manage stress incontinence. Which of the following statements by the client indicates a need for further teaching?

The client asks the nurse about whether kegal exercises will help. The nurse explains to the client that these exercises can help by?

The following questions are stand alone and are not part of the previous case study.

A nurse in a long-term care facility is caring for an older adult client who has dementia and begins to have frequent episodes of urinary incontinence. After the provider determines no medical cause for the client's incontinence, which of the following interventions should the nurse initiate to manage this behavior?

A nurse assessing a client notes that the client has a constant leakage of small amounts of urine and a bladder that is distended and palpable. The nurse should associate these findings with which of the following types of urinary incontinence?

The nurse is calculating the intake and output (I&O) for a patient. On the I&O record, the following information is noted: milk 140 mL at breakfast, voided 240 mL after breakfast, 120 mL of coffee at 1000, and urinated 300 mL at 1100. Which amount will the nurse document for the total urine output?

The nurse is providing education on the urination process. Which urinary system structure is considered the functional unit responsible for filtration and water absorption?

The nurse is providing education on urination to a client with incontinence. The nurse will use which statement to best describe how normal voluntary urination occurs?