Question 1

The nurse is cleaning the patient with fecal incontinence when he says,"This is so embarrassing,and it makes me really angry." The nurse's best response would be:

Accepted Answer

A)  "Don't worry about it, it's my job to clean you up." 
B)  "If you would have called me sooner, this wouldn't have happened." 
C)  "Do you feel angry and embarrassed?" 
D)  "Would you rather let your family clean you up?" 
A)  "Don't worry about it, it's my job to clean you up." 
B)  "If you would have called me sooner, this wouldn't have happened." 
C)  "Do you feel angry and embarrassed?" 
D)  "Would you rather let your family clean you up?"

Question 2

Prompted voiding is a habit training technique that:

Accepted Answer

A)  Is useful with cognitively impaired persons. 
B)  Helps the patient to recognize incontinence. 
C)  Is based on giving praise for staying dry. 
D)  Strengthens the pelvic floor. 
E)  Uses the Valsalva maneuver to force urine from bladder. 
A)  Is useful with cognitively impaired persons. 
B)  Helps the patient to recognize incontinence. 
C)  Is based on giving praise for staying dry. 
D)  Strengthens the pelvic floor. 
E)  Uses the Valsalva maneuver to force urine from bladder.

Question 3

The patient who is having problems with fecal incontinence may benefit from a change in his diet.The nurse should encourage the patient to include:

Accepted Answer

A)  Raw fruits and vegetables 
B)  Potatoes and bread 
C)  Coffee and tea 
D)  Prune and grape juice 
A)  Raw fruits and vegetables 
B)  Potatoes and bread 
C)  Coffee and tea 
D)  Prune and grape juice

Question 4

When the nurse is teaching the patient about managing fecal overflow incontinence,she should be sure that the patient understands that one of the most essential factors is:

Accepted Answer

A)  Daily use of mineral oil 
B)  Regular evacuation 
C)  Daily administration of enemas 
D)  Long-term use of mineral oil 
A)  Daily use of mineral oil 
B)  Regular evacuation 
C)  Daily administration of enemas 
D)  Long-term use of mineral oil

Question 5

The 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.The nurse understands that the reflex training is effective if the residual volume is less than: (in milliliters)

Accepted Answer

A)  100 
B)  200 
C)  400 
D)  500 
A)  100 
B)  200 
C)  400 
D)  500

Question 6

The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:

Accepted Answer

A)  Cheese 
B)  Cabbage 
C)  Rice 
D)  Yogurt 
A)  Cheese 
B)  Cabbage 
C)  Rice 
D)  Yogurt

Question 7

The patient who has urinary incontinence is at risk for urinary tract infection and urinary calculi.The nurse should teach the patient and family that the best way to prevent these complications is to:

Accepted Answer

A)  Restrict the patient's fluid intake and frequency of incontinence. 
B)  Be sure the patient's voiding schedule is no more often than every 4 hours. 
C)  Use an indwelling catheter. 
D)  Encourage the patient to void at least every 2 hours and to take at least 2000 ml of fluid daily. 
A)  Restrict the patient's fluid intake and frequency of incontinence. 
B)  Be sure the patient's voiding schedule is no more often than every 4 hours. 
C)  Use an indwelling catheter. 
D)  Encourage the patient to void at least every 2 hours and to take at least 2000 ml of fluid daily.

Question 8

Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:

Accepted Answer

A)  Diabetes mellitus 
B)  Impetigo 
C)  Hypotension 
D)  Trigeminal neuralgia 
A)  Diabetes mellitus 
B)  Impetigo 
C)  Hypotension 
D)  Trigeminal neuralgia

Question 9

The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

Accepted Answer

A)  "To test the capacity of the bladder." 
B)  "To see how much urine is left in the bladder after you have voided." 
C)  "To test the function of the nerves and muscles of the bladder." 
D)  "To detect involuntary passage of urine." 
A)  "To test the capacity of the bladder." 
B)  "To see how much urine is left in the bladder after you have voided." 
C)  "To test the function of the nerves and muscles of the bladder." 
D)  "To detect involuntary passage of urine."

Question 10

The patient,talking to the home health nurse about urinary incontinence,gives the nurse a list of the current medications.The nurse recognizes that the medication that could be contributing to the patient's urinary incontinence is:

Accepted Answer

A)  Methylcellulose (Citrucel) 
B)  Diazepam (Valium) 
C)  Simvastatin (Zocor) 
D)  Digoxin (Lanoxin) 
A)  Methylcellulose (Citrucel) 
B)  Diazepam (Valium) 
C)  Simvastatin (Zocor) 
D)  Digoxin (Lanoxin)

Question 11

A patient being assessed by the physician states,"I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?

Accepted Answer

A)  Reflex 
B)  Overflow 
C)  Urge 
D)  Stress 
A)  Reflex 
B)  Overflow 
C)  Urge 
D)  Stress

Question 12

The nurse would evaluate the need for no further instructions if the patient says,after undergoing a cytometry,that he understands that he should:

Accepted Answer

A)  "Drink no fluids for 6 hours after the test." 
B)  "Report a change in my abdominal girth." 
C)  "Notify the doctor if I have difficulty voiding." 
D)  "Sleep on my stomach." 
E)  "Notify my doctor if I experience burning on urination." 
A)  "Drink no fluids for 6 hours after the test." 
B)  "Report a change in my abdominal girth." 
C)  "Notify the doctor if I have difficulty voiding." 
D)  "Sleep on my stomach." 
E)  "Notify my doctor if I experience burning on urination."

Question 13

The nurse is asked to instruct the patient on performing Kegel exercises.The patient should be instructed to contract the muscles he or she would use to stop the flow of urine.The proper technique is to:

Accepted Answer

A)  Contract for 3 to 4 seconds and relax for 10 seconds 
B)  Contract for 10 seconds and relax for 10 seconds 
C)  Contract for 10 seconds and relax for 3 to 4 seconds 
D)  Contract for 3 to 4 seconds and relax for 3 to 4 seconds 
A)  Contract for 3 to 4 seconds and relax for 10 seconds 
B)  Contract for 10 seconds and relax for 10 seconds 
C)  Contract for 10 seconds and relax for 3 to 4 seconds 
D)  Contract for 3 to 4 seconds and relax for 3 to 4 seconds

Question 14

The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:

Accepted Answer

A)  Brown and formed 
B)  Bright red and liquid 
C)  Black and sticky 
D)  Clay-colored and pasty 
A)  Brown and formed 
B)  Bright red and liquid 
C)  Black and sticky 
D)  Clay-colored and pasty

Exam 23: Incontinence

The nurse is cleaning the patient with fecal incontinence when he says,"This is so embarrassing,and it makes me really angry." The nurse's best response would be:

Prompted voiding is a habit training technique that:

The patient who is having problems with fecal incontinence may benefit from a change in his diet.The nurse should encourage the patient to include:

When the nurse is teaching the patient about managing fecal overflow incontinence,she should be sure that the patient understands that one of the most essential factors is:

The 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.The nurse understands that the reflex training is effective if the residual volume is less than: (in milliliters)

The nurse instructs a patient that diarrhea can be caused by the inclusion in the diet of such foods as:

The patient who has urinary incontinence is at risk for urinary tract infection and urinary calculi.The nurse should teach the patient and family that the best way to prevent these complications is to:

Because medical history can be reveal clues to urinary incontinence,the nurse should be sure to ask the patient specifically about:

The patient who is scheduled for an urodynamic test asks the nurse why he is having this test.The nurse's best response would be:

The patient,talking to the home health nurse about urinary incontinence,gives the nurse a list of the current medications.The nurse recognizes that the medication that could be contributing to the patient's urinary incontinence is:

A patient being assessed by the physician states,"I wet my pants every time I cough." The nurse recognizes this as which type of incontinence?

The nurse would evaluate the need for no further instructions if the patient says,after undergoing a cytometry,that he understands that he should:

The nurse is asked to instruct the patient on performing Kegel exercises.The patient should be instructed to contract the muscles he or she would use to stop the flow of urine.The proper technique is to:

The physician's admission report states that the patient has a history of tarry stools.The nurse knows that this means the stools are:

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