The nurse cares for a client with urinary incontinence. Which client statement most concerns the nurse?
1. "Every time I cough or sneeze, I urinate on myself a little."
2. "I have never had urinary incontinence before this week."
3. "I experience a strong urge to urinate but cannot make it to the bathroom."
4. "I have had several accidents because I just couldn't get up fast enough."
2. "I have never had urinary incontinence before this week."
Explanation: 1. A client who urinates on themselves when they cough or sneeze is experiencing stress incontinence.
2. New-onset urinary incontinence is always a nursing priority. DIAPPERS can be used to recall conditions for acute incontinence: delirium, infection, atrophic vaginitis, pharmacological therapy, psychological problems, restricted mobility, stool impaction.
3. Urge incontinence occurs when a client all of a sudden has a strong urge to void and cannot make it to the toilet in time.
4. Functional incontinence occurs when the client cannot make it to the toilet in time to void.
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