During a physical examination, the woman reports concerns about leaking urine when she sneezes. This type of urine incontinence is attributed to
A) a loss of urine with an increase in intra-abdominal pressure.
B) the result of a system blockage.
C) related to damage of the urinary apparatus.
D) the result of bladder overstretching.
Question 2An older patient with arthritis is prescribed to begin an exercise regimen. How should the nurse instruct the patient about exercising?
1. Perform resistive exercises daily with weights.
2. Perform active range of motion to all joints every day.
3. Overstretch all muscle groups for 20 minutes each day.
4. Use high intensity when performing isometric exercises.
Question 3The nurse is planning an inservice for a group of new graduate nurses about urinary infections. Which of the following should be included in the presentation?
A) Men require a longer course of antibiotic therapy to manage a urinary tract infection than women.
B) Men are most likely to experience descending urinary tract infections.
C) Straight catheterization is the only means to obtain a urine specimen to evaluate for the presence of a urinary tract infection.
D) The rate of urinary tract infections is similar between men and women.
Question 4The nurse is concerned that a patient with arthritis is at an increased risk for falling. What did the nurse observe in this patient?
1. Sitting down in a chair
2. Able to turn while walking
3. Rocking to get up from a chair
4. Raising the foot completely off of the floor when walking
Question 5A 77-year-old client has been hospitalized with a diagnosis of urinary sepsis. Upon review of the medical record, which of the following will most likely be noted as early onset symptoms?
A) Urinary frequency
B) Urinary urgency
C) Alteration in cognition
D) Gross hematuria
Question 6The nurse instructs an older patient on ways to manage acute episodes of gout at home. Which patient statement indicates that teaching has been effective?
1. Ice packs to the painful areas will be helpful.
2. I will need to reduce my fluid intake to 2 L/day.
3. I should eat liver at least one or two times per week to promote healing.
4. Application of heat to my joints is recommended to manage the discomfort.
Question 7When caring for a woman who is entering menopause, the client reports she is faced with increasing vaginal dryness. She asks what can be done to manage the condition. Based upon your knowledge, what is the most
likely treatment to be employed?
A) The client will benefit by using medicated douches daily.
B) The client will likely be prescribed oral hormone replacement therapy.
C) The client should apply petroleum jelly vaginally to restore moisture.
D) The client may be prescribed a hormone-containing vaginal cream.