When assessing the patient for urinary incontinence, which patient symptom best supports the nursing diagnosis of overflow incontinence?
a. "I have small accidents ever since I de-veloped a cystocele."
b. "It burns so badly after I urinate that I hold it as long as I can."
c. "I can't make it to the toilet when I feel the need to urinate."
d. "I lose small amounts of urine when I sneeze or laugh hard."
A
Typically, individuals with overflow incontinence complain of frequent losses of small volumes of urine, which are commonly a result of cystoceles. Burning indicates a urinary tract infection. "Not making it" to the bathroom is generally functional incontinence. Losing control of the bladder with sneezing or laughing is a manifestation of stress incontinence.
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