Mrs. LaFarge is a 60-year-old who presents with urinary incontinence. She is unable to get to the bathroom quickly enough when she senses the need to urinate. She has normal mobility. Which of the following is most likely?
A) Stress incontinence
B) Urge incontinence
C) Overflow incontinence
D) Functional incontinence
B) Urge incontinence
Stress incontinence occurs with increased intra-abdominal pressure such as with coughing, sneezing, or laughing. This history is most consistent with urge incontinence secondary to detrusor overactivity. Overflow incontinence occurs with anatomic obstruction such as prostatic hypertrophy (obviously not in this case, as the patient is a woman), urethral stricture, or neurogenic bladder. Functional incontinence results from lack of mobility severe enough to impair getting to the bathroom quickly enough.
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A) Renal failure B) Cardiac emergency C) Liver failure D) Respiratory distress
A nurse instructs a client that gastrointestinal (GI) upset is a common side effect of anthelmintics. To avoid GI distress, the client should take the anthelmintic:
a. between meals. b. immediately after meals. c. before breakfast and at bedtime. d. before lunch without milk products.
When caring for a client with a central venous line, which of the following nursing actions should be implemented in the plan of care for chemotherapy administration? Select all that apply.
A. Verify patency of the line by the presence of a blood return at regular intervals. B. Inspect the insertion site for swelling, erythema, or drainage. C. Administer a cytotoxic agent to keep the regimen on schedule even if blood return is not present. D. If unable to aspirate blood, reposition the client and encourage the client to cough. E. Contact the health care provider about verifying placement if the status is questionable.
A patient who has been diagnosed with GERD is reluctant to make suggested lifestyle changes. What information about GERD should the nurse provide?
1. "The damage to your esophagus may result in esophagitis." 2. "Long-term exposure to acid increases risk for esophageal cancer." 3. "Without lifestyle changes, the medications will be totally ineffective." 4. "The lifestyle changes are not so bad if you adopt them one at a time and institute them gradually." 5. "You will have trouble swallowing if you do not treat this condition."