Chapter 23: Incontinence

Introduction To Medical Surgical Nursing, 6th Edition by Linton

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Chapter 23: Incontinence

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. What instruction should a nurse provide to a patient scheduled for a postvoid residual (PVR) test?
a. Call the nurse immediately after voiding.
b. After voiding, wait 10 minutes and void again.
c. Void into a flow meter.
d. Avoid fluid intake for 8 hours before the test.

 

 

ANS:  A

The nurse must catheterize the patient immediately after voiding and measure the amount of urine.

 

DIF:    Cognitive Level: Application           REF:   p. 349             OBJ:   1

TOP:   Postvoid Residual Test                    KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of Disease

 

  1. Bladder training instructions are being given to a patient who has a history of urinary incontinence. What initial instructions should the nurse give to the patient?
a. “Wait until you feel the urge to void.”
b. “Don’t void any more often than every 4 to 6 hours.”
c. “Void every 2 to 3 hours while awake.”
d. “Void any time you feel the urge.”

 

 

ANS:  C

Bladder training uses scheduled voiding; the patient is encouraged to delay voiding and void only every 2 to 3 hours while awake.

 

DIF:    Cognitive Level: Application           REF:   p. 349             OBJ:   1

TOP:   Bladder Training                             KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. A patient with a spinal cord injury has recently begun using reflex training to empty his bladder. The nurse is doing a catheterization to check for residual volume. What should the residual volume be to indicate reflex training is effective?
a. Less than 100 mL
b. Less than 200 mL
c. Less than 400 mL
d. Less than 500 mL

 

 

ANS:  A

Ideally, the residual volume will be less than 100 mL.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 350             OBJ:   1

TOP:   Reflex Training                               KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

  1. A male patient with urinary incontinence has been using an external (condom) catheter. A nurse is assessing the patient’s technique of applying the device. What techniques demonstrated by the patient would indicate the need for further instruction?
a. Washes the penis with warm soapy water and dries the area well before applying the device
b. Encircles the penis with tape to secure the device
c. Uses elastic tape and wraps in a spiral pattern to secure the device
d. Carefully assesses the penis for any signs of irritation before applying the device

 

 

ANS:  B

Encircling the penis with tape can restrict circulation and cause damage to the tissue.

 

DIF:    Cognitive Level: Application           REF:   p. 350             OBJ:   1

TOP:   External Urine Collection Device     KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

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