Exam 3

Question 1

Urinary incontinence

Answer 1

Complaint of any involuntary leakage of urine

Question 2

Transient UI

Answer 2

arrives suddenly
lasts 6mo or less
reversible cause (acute)

Question 3

Established UI

Answer 3

includes stress, functional, urge, mixed

Chronic

Question 4

Stress UI

Answer 4

Involuntary leakage of urine when activity causes increased abdominal pressure

Question 5

Urge UI

Answer 5

Inability to hold urine long enough to reach toilet

Question 6

Mixed UI

Answer 6

Elements of both stress and urge incontinence

Question 7

Overactive bladder

Answer 7

urgency, usually with nocturia and daytime frequency, sometimes with urge incontinence

Question 8

Risk factors for UI

Answer 8

**Limiting fluid!!
Obesity 
diuretics
functional impairments
Constipation/impaction
alcoholism 
DM
COPD, CVA, MS, PD, acute illness/surgery that compromises mobility or mental funtion, restraints

Question 9

Causes for UI

Answer 9

.

Question 10

ARC of the Urinary System

Answer 10

Decreased:
function of nephrons
renal blood flow
elasticity of urinary tract muscles

Degenerative changes in cerebral cortex alter sensation of a full bladder & ability to empty completely.

Question 11

Assessing for UTI

Answer 11

.

Question 12

Meds that cause incontinence

Answer 12

• Diuretics
• Anticolinergics (urinary retention)
• Alpha-adrenergic blocking agens ( v sphincter tone)
• Meds that act on CNS or ANS > cough

Question 13

Functional UTI ARC

Answer 13

Affect ability to identify & reach toilet

• balance
• mobility
• visual impairment
• manual dexterity