Passpoint Urinary

Question 1

Urge incontence can be best help by…

Answer 1

Teaching client Pelvic Floor Exercises

Basic Kegel Exercise:
Identify the muscles – Try to stop urination midstream; the muscles you use are your pelvic floor muscles.
Contract and hold – Tighten these muscles for 3–5 seconds.
Relax – Release for 3–5 seconds.
Repeat – Do 10–15 repetitions, 3 times a day.

Question 2

Stress Incontinence – Leakage occurs with pressure on the bladder (e.g., coughing, sneezing, laughing, or exercise).

Sudden, strong urge to urinate followed by involuntary leakage (often due to overactive bladder).

Incomplete bladder emptying leads to constant dribbling or frequent small leaks.

Physical or cognitive impairments (e.g., arthritis, dementia) prevent timely bathroom access.

Combination of two or more types, commonly stress and urge incontinence.

Involuntary urination due to nerve damage (e.g., spinal cord injury, neurological disorders).

Overflow Incontinence
Reflex Incontinence
Mixed Incontinence
Urge Incontinence
Functional Incontinence

Answer 2

Stress Incontinence – Leakage occurs with pressure on the bladder (e.g., coughing, sneezing, laughing, or exercise).

Urge Incontinence – Sudden, strong urge to urinate followed by involuntary leakage (often due to overactive bladder).

Overflow Incontinence – Incomplete bladder emptying leads to constant dribbling or frequent small leaks.

Functional Incontinence – Physical or cognitive impairments (e.g., arthritis, dementia) prevent timely bathroom access.

Mixed Incontinence – Combination of two or more types, commonly stress and urge incontinence.

Reflex Incontinence – Involuntary urination due to nerve damage (e.g., spinal cord injury, neurological disorders).

Question 3

Appropriate med to help with a Hb (Hemoglobin) level 7 in a client with Chronic Renal Failure- receiving haemodialysis 3x weekly

Ferrous Sulfate
Epoetin alfa
Filgrastim
Enoxaparin

Answer 3

Epoetin alfa

Kidney disease causes Kidneys to not produce enough Erythropoietin (Produces Blood Cells).

Ferrous Sulfate Used for Iron deficiency anemia

Filgrastim helps produce Neutrophils

Enoxaparin = Lovenox low molecular weight heparin, Sub Q, no labs needed

Question 4

Dyspareunia is…

Answer 4

Pain in vag / pelvic area after intercourse

Maybe caused by lack of lube in a menopausal client

Question 5

This problem can follow streptococcal throat / skin infection.

Answer 5

Acute poststreptococcal glomerulonephritis

Question 6

Post cystoscopy what should the nurse teach the client about the urge to void…

Teach what about the anesthesia….

Answer 6

The catheter inserted into the urethral will irritate the mucosa membrane and cause the urge to void, Even when bladder isn’t full.

Force fluids to dilute urine and help with voiding.

Only topical anesthesia is used for this procedure

Question 7

_______ is the inflammation of the coiled tube at the back of the testicle that stores and carries sperm.

It is often caused by bacterial infections, including sexually transmitted infections (STIs) like chlamydia and gonorrhea or non-STI-related urinary tract infections (UTIs)

Answer 7

Epididymitis

Question 8

The tip of the applicator for instilling vaginal cream should be directed how?

Depth?

Answer 8

Tip towards the Sacrum

Insert nozzle 2 inches

Question 9

Describe gonorrhea in males…

Answer 9

Painful urination
Mucopurulent Discharge

Very Painful/ Client will seek help

Question 10

Prostate-specific Antigen level is normally….

Risk for cancer levels…

Answer 10

<4ng/mL

4 - 10 = 25%

> 10 = 67%

Question 11

TPN client is ordered for 24 hr creatinine clearance.

How do they do this….

Answer 11

Discard first morning void, and collect for exactly 24hrs.

Question 12

Progestin Injections for contraception are needed how often

Answer 12

3 months

Question 13

Reflex Incontinence following lumbar spinal cord injury. Which component should be included in care plan.

Need for longterm indwelling catheter

Teach client to perform intermittent self-catheterization

Educate on necessity for Prophylactic therapy

Fluid restriction regimen

Answer 13

Teach client to perform intermittent self-catheterization

Reflex Incontinence often requires intermittent Catheterization to prevent overfilling.

Reflex Incontinence = absence of urge to void

Question 14

Chronic pyelonephritis is most often caused by…

Answer 14

Recurrent UTI

Chronic pyelonephritis can lead to chronic renal failure

Question 15

Main priorities for diabetes insipidus (3)

Answer 15

Fluid replacement
Vasopressin replacement
Correction of underlying intracranial pathology