Which assessment question should the nurse ask if stress incontinence is suspected?
a. "Do you think your bladder feels distended?"
b. "Do you empty your bladder completely when you void?"
c. "Do you experience urine leakage when you cough or sneeze?"
d. "Do your symptoms increase with consumption of alcohol or caffeine?"
ANS: C
Stress incontinence can be related to intraabdominal pressure causing urine leakage, as would happen during coughing or sneezing. Asking the patient about the fullness of the bladder would rule out retention and overflow. An inability to void completely can refer to urge incontinence. Physiological causes and medications can effect elimination, but this is not related to stress incontinence.
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