The daughter of an elderly confused patient reports that her parent is having urinary incontinence several times each day. What will the provider do initially? a. Obtain a urine sample for urinalysis (UA) and possible culture b. Order serum creatinine and blood urea nitrogen tests c. Perform a bladder scan to determine distention and retention d. Tell the daughter that this is expected given her mother's age and confusion - ANSWER>>>ANS: A When incontinence occurs, UA is performed initially to exclude hematuria, pyuria, glucosuria, or proteinuria and possible infection. Serum creatinine and BUN may be performed if renal disease is suspected. Bladder scans may be performed if the UA is normal to evaluate physiologic causes. It is not correct to offer reassurance without ruling out other causes. The provider is evaluating a patient for potential causes of urinary incontinence and performs a postvoid residual (PVR) test which yields 30 mL of urine. What is the interpretation of this result? a. The patient may have overflow incontinence. b. The patient probably has a urinary tract infection (UTI). c. This is a normal result. d. This represents incomplete emptying. - ANSWER>>>ANS: C A PVR less than 50 mL is considered normal and this result does not indicate any abnormality. The provider is counseling a patient who has stress incontinence about ways to minimize accidents. What will the provider suggest initially?