Which statement characterizes functional incontinence?
A. Leakage of urine during activities that increase abdominal pressure, such as coughing, sneezing, and laughing.
B. Occurrence of incontinence with overdistention of the bladder.
C. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting habits.
D. Characterized by the inability to delay urination, with an abrupt and strong desire to void.
Ans: C. Mainly caused by factors outside the urinary tract, especially immobility, that prohibit proper toileting habits.
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A patient with a chronic cough has a bronchoscopy. After the procedure, which intervention by the nurse is most appropriate?
a. Elevate the head of the bed to 80 to 90 degrees. b. Keep the patient NPO until the gag reflex returns. c. Place on bed rest for at least 4 hours after bronchoscopy. d. Notify the health care provider about blood-tinged mucus.
A client in the emergency department complains of chest pain, diaphoresis, shortness of breath, lightheadedness, and dizziness
The cardiac monitor displays ventricular tachycardia at 180 beats per minute. What is the nurse's most immediate concern for this client? 1. The client may be experiencing a posterior myocardial infarction. 2. The client may suffer a cerebral vascular accident. 3. The client is at risk for development of a pulmonary embolism. 4. The client is at risk for cardiac death.
A toddler's parent asks the nurse for suggestions on dealing with temper tantrums. Which is the most appropriate recommendation?
a. Punish the child. b. Leave the child alone until the tantrum is over. c. Remain close by the child but without eye contact. d. Explain to child that this is wrong.
A patient has reduced muscle strength following a left-sided stroke and is at risk for falling. Which intervention is most appropriate for the nursing diagnostic statement Risk for falls?
a. Keep all side rails down at all times. b. Encourage patient to remain in bed most of the shift. c. Place patient in room away from the nurses' station if possible. d. Assist patient into and out of bed every 4 hours or as tolerated.