The primary care nurse practitioner (NP) sees a 50-year-old woman who reports frequent leakage of urine. The NP learns that this occurs when she laughs or sneezes. She also reports having an increased urge to void even when her bladder is not full
She is not taking any medications. The NP should: a. perform a dipstick urinalysis.
b. prescribe desmopressin (DDAVP).
c. prescribe oxybutynin chloride (Ditropan XL).
d. teach exercises to strengthen the pelvic muscles.
A
A focused history with a careful physical examination is essential for determining the cause of incontinence. Urinalysis can rule out urinary tract infection (UTI), which can cause incontinence. Medications are prescribed after determining the cause, if any, and treating underlying conditions. Exercises to strengthen the pelvic muscles are part of treatment.
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