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NUR 155 > Different Types of Urinary Incontinence > Flashcards

Different Types of Urinary Incontinence Flashcards

1
Q

What is Stress Incontinence?

A

is loss of urine control during activities that increase intraabdominal pressure, such as coughing, sneezing, laughing, or exercise.

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2
Q

What is Urge Incontinence?

A

involves a sudden strong urge to void, followed by rapid bladder contraction. The affected person does not have enough time for toileting between recognition of the urge to urinate and the onset of voiding.

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3
Q

What is Mixed Incontinence

A

is a combination of both stress and urge incontinence.

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4
Q

What is Functional Incontinence

A

refers to lack of urine control in the absence of any abnormalities of the urinary tract; it occurs when some physical limitation in functioning, such as difficulty with clothing fasteners or impaired mobility, hinders reaching the toilet before voiding occurs.

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5
Q

What is Overflow Incontinence

A

As seen in patients who are unable to empty the bladder completely, resulting in a constant dribbling of urine or increased frequency of urination.

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6
Q

What is Temporary Incontinence

A

can occur in association with factors such as severe constipation, infections in the urinary tract or vagina, or medication usage.

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7
Q

What is Nocturia

A

excessive urination at night , about more that 2-3 times of voiding at night, due to not voiding in the daytime.

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8
Q

What is Hematuria

A

A presence of blood in the urine

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9
Q

What is Dysuria

A

Painful sensation while urinating

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10
Q

What is Olyguria

A

An inadequate amount of the output of urine , less than 20ml/hr

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11
Q

What is the normal urine output per hour for a hydrated adult?
A. 25 ml/hr
B. 72 ml/hr
C.300 ml/hr
D.1000 ml/hr

A

B. 72 ml/hr

The correct answer is B,

The minimum amount of urine output is 30 ml/hr. If The adults’ urine output is more than 106 ml/hr the Patient has Polyuria, which is an abnormal urine output.

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12
Q

What is the Normal Range for Blood Urea Nitrogen (BUN)?

A.12-20
B.95-100
C.60-100
D.10-20

A

The correct answer is D,

The normal range for Bun is 10-20. Answer choice A is the normal range for breathes per minute. Letter B, is the normal range for O2 Saturation. Letter C is the normal range beats per minute

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13
Q

What is the normal range of Creatine for Women and Men?
A. 1.009 - 2.980 (W) , 0.06-1.3 (M)
B. 0.5-1.1 (W) , 0.6-1.2 (M)
C. 2.4-3.5 (W) , 1.5-2.3 (M)
D. 123-456 (W) , 789-101(M)

A

The correct Answer is B. 0.5-1.1 (W) , 0.6-1.2 (M)

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14
Q

What do elevated BUN and Creatine levels indicate?
A. Kidneys are functioning Properly
B. Dehydration, Kidney functional filters, reabsorbs and secretes urine.
C. Kidney damage, kidney does not functionally filter, reabsorb, and secrete Urine
D.Hydration

A

C. Kidney damage, kidney does not functionally filter, reabsorb, and secrete Urine

Extra Info- Elevated Bun may also indicate

Elevated levels may indicate kidney injury or disease as well as conditions such as diabetes, high blood pressure, blockage of the urinary tract, a high-protein diet, severe burns, gastrointestinal bleeding, or problems such as dehydration or heart failure, which affect blood flow.

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15
Q

What is the normal range of Specific Gravity of the Urine?
A. 1050-1035
B. 1.005- 1.030
C. 25000-45000
D. 2.5-3.5

A

B. 1.005-1030

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16
Q

What does an Elevated Specific Gravity Indicate? What number is associated with an Elevated Specific Gravity?
A. Dehydration, concentrated urine, Dark Amber in color. Specific Gravity Number- 2.000
B. Hydrated, Pale clear urine. Specific Gravity Number-1.003
C. Blue color of the urine, Specific Gravity Number- 1.005
D. Green color of the urine, Specific Gravity Number- 1.030

A

Answer Choice A is the correct answer.
A. Dehydration, concentrated urine, Dark Amber in color. Specific Gravity Number- 2.000

17
Q

What does a Decreased Specific Gravity Indicate? What number is associated with and Decreased Specific Gravity?

A. Pale, clear urine
B. Bright, red urine
C. Dark Amber color of urine
D. Blue color of the urine

A

A. Pale, clear urine

18
Q

Where is Antidiuretic Hormone secreted from in the human body?

A.Hypothalamus
B.Pituitary Gland
C. Kidneys
D. Adrenal Gland

A

B. Pituitary Gland

19
Q

What is the Function of Antidiuretic Hormone?
A. Retain sodium and fluid
B. Excrete transferrin
C. Expell sodium and fluid through urinary elimination
D.Causes edema

A

A. Retain sodium and fluid

20
Q

What is the chemical name that ADH secretes?
A. Hematocrit
B. Aldosterone
C. Transferrin
D. Anemia

A

B. Aldosterone

21
Q

What is Urinary Retention?

A

Urinary retention is the inability of the bladder to empty. It is caused by an obstruction in the urinary tract or by a neurologic disorder.

22
Q

Which one of these Urinary Incontinences, is closely related to Urinary Retention?
A. Temporary
B. Overflow
C. Functional
D. Mixed

A

The correct answer choice is B. Overflow Incontinence.

Urinary retention is commonly related to Urinary retention because they frequently get a symptom of dribbling urine.
Signs and Symptoms from the book(Dribbling may occur between trips to the bathroom because the bladder is constantly full.)

23
Q

A patient is scheduled for an intravenous pyelogram (IVP). Which piece of data would be most important to know before the procedure is carried out?

A. Urinalysis negative for sugar and acetone
B. History of allergies
C. History of a recent thyroid scan
D. Frequency of urination

A

The correct answer choice is B. History of allergies

Contraindications for intravenous pyelogram (IVP) include an allergy to iodine, which is like the contrast material injected during the IVP. Knowing this information would be critical to providing safe patient care. Frequency of urination may be an indication to perform an IVP;

24
Q
  1. What self-care measure is most important for the nurse to include when developing a teaching plan for a patient who will be discharged with a urostomy?
    a. Change the appliance before going to bed.
    b. Cut the wafer 1 inch larger than the stoma.
    c. Cleanse the peristomal skin with mild soap and water.
    d. Use firm pressure to attach the wafer to the skin.
A

The correct answer choice is C. Cleanse the peristomal skin with mild soap and water.

The peristomal area should be washed by the patient using warm water and mild soap as needed and routinely at bath time. The collection device typically has a face plate to ensure a good fit and prevent leakage of urine. These appliances are changed less frequently than before bed each night, and neither a widely cut wafer nor firm pressure is needed for their application.

25
Q

Does a Urine Collection (Culture Sensitivity Urine test need the pt to perform Midstream and clean catch Method?
A. Yes
B.No

A

A. Yes

For culture and sensitivity testing, urine is collected by the clean-catch, or midstream, method, using a sterile specimen cup. It is crucially important for the pt to perform the clean catch method so the collection of the urine is free from any bacteria.

26
Q

Who is more at risk for Nocturia?
A. 77 year old male
B. 15 year old girl
C. 45 year old yoga instructor
D. 23 year old male

A

The correct answer is A. 77 year old male

27
Q

What Catheter is an Indwelling Catheter (Select All that Apply)
A. Straight
B. Foley
C.Single Lumen
D. Coude

A

The correct answer is B and D. Foley and Coude are both indwelling Catheters that are for long-term use.

28
Q

When should an Indwelling Catheter be used?
A. A patient with 35 ml/hr of urinary output
B. A patient that complains about dysuria
C. A patient that is in need of support because they are currently at the stage end of life
D. A patient who fractured their right toe

A

The correct answer is C.
C. A patient that is in need of support because they are currently at the stage end of life

Indwelling Catheters should only be used in cases…

  1. Relief of acute urinary obstruction or retention
  2. Preventing contamination during complex surgical
    procedures
  3. Accurate measurement of urine in critically ill patients 4. Maintaining dry tissue during perineal or sacral wound
    healing in incontinent patients
  4. Optimal management of patients who are immobilized for
    an extended period
  5. Support of patient comfort at the end of life
29
Q

What are the benefits of Kegal Exercises for females?
A. Strengthen the quads muscles
B. Recommended helping keep the female pelvic floor toned, which reduces the risk for incontinence.
C. To decrease pelvic floor muscle to decrease the risk for incontinence.
D.Increases the risk for incontinence

A

The correct answer choice B. Recommended to help keep the female pelvic floor toned, which reduces the risk for incontinence.

30
Q

What are Culture and Sensitive Urine Specimens used to test?

A

Urine culture and sensitivity testing are performed for diagnosis of a UTI. Urine in the bladder normally is sterile; it does not contain bacteria or organisms. If organisms grow in the culture, sensitivity testing is performed to determine the appropriate antibiotic for treatment.

31
Q

Should there be protein in the Urine?
A.Yes
B.No

A

The correct answer is B. No

32
Q

A nurse reviews the results of a client’s urinalysis. Which constituent found in urine indicates the presence of an abnormality that should be reported to the primary health-care provider?
1. Electrolytes
2. Protein
3. Water
4. Urea

A
  1. Protein
33
Q

A nurse is caring for a group of clients with a variety of urinary problems. Which physical response identified by the nurse should cause the most concern?
1. Anuria
2. Dysuria
3. Diuresis
4. Enuresis

A
  1. Anuria

The inability to produce urine (anuria) is a life-threatening situation. If the cause is not corrected, the client will need dialysis to correct fluid and electrolyte imbalances and rid the body of the waste products of metabolism.

34
Q

Which assessment is not related to monitoring both urine and stool?
1. Constituents
2. Urgency
3. Shape
4. Color

A
  1. Shape

Only stool can be assessed regarding shape. Stool usually is tubular in shape. Urine is a liquid that assumes the shape of the container in which it is collected.

35
Q

A client who had prostate surgery has a continuous bladder irrigation (CBI) in place. The nurse maintains the CBI at 200 mL/hour of GU irrigant as prescribed. The urine drainage bag was emptied several times during the course of the shift for a total of 3,200 mL. How many milliliters should the nurse calculate was urine at the end of the 12-hour shift? Record your answer using a whole number. Answer: _______________________ mL.

A

Answer: 800 mL.

36
Q

what is urinary diuresis?

A

Diuresis is a condition in which the kidneys filter too much bodily fluid. That increases your urine production and the frequency with which you need to use the bathroom.

37
Q

A client is diagnosed with a vitamin A deficiency. The client loves pie for dessert. Which type of pie should the nurse encourage the client to ingest?
1. Blueberry
2. Pumpkin
3. Cherry
4. Pecan

A
  1. Pumpkin is an excellent source of vitamin A. One piece (one-sixth of a 9-inch-diameter pie) contains 3,750 mcg RE of vitamin A.

Orange or yellow fruits and vegetables are high in Vitamin A

38
Q

Which is unrelated to the balance of calcium in the body?
1. Osteoporosis
2. Vitamin D
3. Tetany
4. Iron

A
  1. Iron

NUR 155 (19 decks)

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