Asked by Mahip Joshi on May 12, 2024
Verified
A nurse is providing care to a group of patients. Which patient will the nurse see first?
A) A patient who is dribbling small amounts on the way to the bathroom and has a diagnosis of urge incontinence
B) A patient with reflex incontinence with elevated blood pressure and pulse rate
C) A patient with an indwelling catheter that has stool on the catheter tubing
D) A patient who has just voided and needs a postvoid residual test
Reflex Incontinence
A type of urinary incontinence where involuntary urination occurs due to a reflex without the sensation of needing to urinate.
Urge Incontinence
A type of urinary incontinence that results from sudden, involuntary contraction of the muscles of the urinary bladder, resulting in an urge to urinate.
- Comprehend the principles and management approaches for various kinds of urinary incontinence.
- Discern and manage the evidences, symptoms, and treatments for urinary tract infections and catheter-associated urinary tract infections.
Verified Answer
AF
Alexis FuglerMay 14, 2024
Final Answer :
B
Explanation :
The nurse should see the patient with reflex incontinence first. Patients with reflex incontinence are at risk for developing autonomic dysreflexia, a life-threatening condition that causes severe elevation of blood pressure and pulse rate and diaphoresis. This is a medical emergency requiring immediate intervention; notify the health care provider immediately. A patient with urge incontinence will dribble, and this is expected. While a patient with a catheter and stool on the tubing does need to be cleaned, it is not life threatening. The nurse has 10 minutes before checking on the patient who has a postvoid residual test.
Learning Objectives
- Comprehend the principles and management approaches for various kinds of urinary incontinence.
- Discern and manage the evidences, symptoms, and treatments for urinary tract infections and catheter-associated urinary tract infections.