Question

44.a nurse is caring for a client who tells the nurse she experiences urinary incontinence when she sneezes. the nurse recognizes this is an expected finding for which of the following types of incontinence?
a. stress incontinence
b. urge incontinence
c. overflow incontinence
d. reflex incontinence
45.a nurse is collecting data from an older adult client who comes to the clinic with dry, flaky skin on her upper back. which of the following actions should the nurse take?
a. note dry, flaky skin as an expected finding.
b. examine the back before the general inspection of the skin.
c. pinch up a fold of skin to check for turgor.
d. use a penlight to examine the back in greater detail.
46.a nurse in a providers office is caring for a client who has tinea pedis. which of the following findings should the nurse expect?
a. recent exposure to poison ivy
b. scaling and redness between the toes
c. circular, erythematous patches on the scalp
d. a recent prescription for an antiseizure medication
47.a nurse is collecting data about a clients cardiac functioning. the nurse auscultates an s3 sound. which of the following causes should the nurse suspect?
a. atrial gallop
b. ventricular gallop
c. closing of the atrioventricular valves
d. closing of semilunar valves

Explanation:

• Question 44: Stress incontinence is characterized by involuntary loss of urine during activities that increase intra - abdominal pressure, such as sneezing. Urge incontinence is associated with a sudden, strong urge to urinate. Overflow incontinence is due to incomplete bladder emptying. Reflex incontinence is caused by a neurological disorder.
• Question 45: Dry, flaky skin in an older adult is a common finding. The general inspection of the skin should be done first. Pinching up a fold of skin to check for turgor is more relevant for assessing hydration in younger clients. Using a penlight is not the first step for dry, flaky skin.
• Question 46: Tinea pedis (athlete's foot) typically presents with scaling and redness between the toes. Recent exposure to poison ivy causes contact dermatitis. Circular, erythematous patches on the scalp are more likely tinea capitis. A recent prescription for an antiseizure medication is not related to tinea pedis.
• Question 47: An S3 sound is a ventricular gallop. An atrial gallop is an S4 sound. The closing of the atrioventricular valves causes the S1 sound. The closing of the semilunar valves causes the S2 sound.

Answer:

1. A. Stress incontinence
2. A. Note dry, flaky skin as an expected finding.
3. B. Scaling and redness between the toes
4. B. Ventricular gallop