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    Ati pharmacology final proctored exam

    A nurse is caring for a client who reports whenever she sneezes or coughs some urine leaks and has to wear a pantyliner. The nurse recognizes that this is a sign of which type of incontinence?

    Explanation & Rationale

    Choice A reason: Stress incontinence occurs when physical movement or activity, such as coughing, sneezing, or exercise, puts pressure on the bladder, leading to involuntary leakage of urine. This is the most likely explanation for the client's symptoms of urine leakage during activities that increase intra-abdominal pressure. Choice B reason: Overflow incontinence is characterized by the inability to empty the bladder completely, leading to frequent dribbling or leakage of urine. It typically occurs when the bladder is overdistended. This description does not align with the client's report of leakage specifically triggered by sneezing or coughing. Choice C reason: Functional incontinence is related to physical or cognitive impairments that prevent an individual from reaching the bathroom in time. It is not caused by bladder or urinary tract issues directly but rather by external factors such as mobility limitations. This is not consistent with the client's symptoms. Choice D reason: Urge incontinence involves a sudden, intense urge to urinate followed by involuntary bladder contraction and urine leakage. It is typically associated with an overactive bladder. The client's symptoms of leakage specifically triggered by sneezing or coughing are more indicative of stress incontinence rather than urge incontinence.

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