Urinary Disorders Q 127 - Gyan Darpan : Learning Portal
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Monday, 4 April 2022

Urinary Disorders Q 127

A client has urge incontinence. Which of the following signs and symptoms would the nurse expect to find in this client?
    A. Inability to empty the bladder.
    B. Loss of urine when coughing.
    C. Involuntary urination with minimal warning.
    D. Frequent dribbling of urine.

Correct Answer: C. Involuntary urination with minimal warning.

A characteristic of urge incontinence is involuntary urination with little or no warning. Urge incontinence is a type of urinary incontinence in adults, which involves sudden compelling urges to void and results in involuntary leakage of urine. This is a serious and debilitating condition and has a social stigma attached to it. To avoid the huge socioeconomic burden and high morbidity associated with this condition, early diagnosis, treatment, and referral concepts must be widely practiced among clinicians.

Option A: The inability to empty the bladder is urinary retention. Urinary retention is the inability to void urine voluntarily. It is a common problem around the world and can occur acutely or chronically. Acute retention most commonly occurs in men and can be a urologic emergency. Acute urinary retention in men most commonly occurs secondary to benign prostatic hyperplasia.
Option B: Loss of urine when coughing occurs with stress incontinence. Stress urinary incontinence (SUI) is the involuntary, sudden loss of urine secondary to increased intraabdominal pressure that is bothersome or affecting the patient’s quality of life. Physical activities precipitating SUI include laughing, sneezing, straining, coughing, or exercising. Patients may refer to a sudden loss of urine as “leaking,” “dripping” or “flooding.” The patient may initially present with urinary complaints of frequency, urgency, and dysuria.
Option D: Frequent dribbling of urine is common in male clients after some types of prostate surgery or may occur in women after the development of a vesicovaginal or ureterovaginal fistula. It’s common in older men because the muscles surrounding the urethra — the long tube in the penis that allows urine to pass out of the body — don’t squeeze as hard as they once did. This leaves a small pool of urine at a dip in the urethra behind the base of the penis. In less than a minute after finishing, this extra urine dribbles out.

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