Med Surg III- Quiz 3 study guide Questions and
Verified Answers
Ileal Conduit Correct Answer: Urine is diverted by implanting the ureter into a 12 cm loop of ileum that
is led out through the abdominal wall or the sigmoid colon, and that are anastomatized. This allows the
urine to drain from the kidneys temporarily to the stoma and provide an accurate measurement of urine
Complications of Ileal conduit? Correct Answer: wound infection or dehiscence
Urinary leakage
urethral obstruction
hyperchloremic acidosis
small bowel obstruction
ileus
gangrene of the stoma
Delayed complications include:ureteral obstruction, contraction or narrowing of the stoma(stenosis),
renal deterioration due to chronic reflux, pyelonephritis, or renal calculi.
Urinary Retention Correct Answer: Inability of the bladder to empty completely
Causes: age 50-100mL in adults over 60d/t decreased detrusor muscle) , diabetes, prostate enlargement,
pregnancy, , meds
neurologic disorders - stroke, spinal cord injuries, MS, or Parkinson's
POST OPERATIVE - ESPECIALLY ANAL OR PERINEAL REGIONS
S/S of urinary retention Correct Answer: difficulty starting stream
dribbling of urine
Nocturia
, small amounts, but frequently
Rounded pelvic or abdominal area
What is a complication of cystoscopy? Correct Answer: Urine retention
if a patient is having dysuria what is something that you could do to help? Correct Answer: provide
privacy
Complications of urinary retention can include: Correct Answer: overflow incontinence
chronic infections
renal calculi (urolithiasis or nephrolithiasis)
Pyelonephritis
Sepsis
*Hydronephrosis*
Stress incontinence Correct Answer: urination as a result of coughing, sneezing, or laughing
Urge incontinence Correct Answer: strong urge to void that can not be suppressed
can't reach the toilet in time
uninhibited detrusor muscle is the cause
Functional Incontinence Correct Answer: Lower urinary function is intact but other factors, such as
severe cognitive impairment Alzheimer's, dementia) make it difficult to identify the need to void.
Or the physical ability to move.
Iatrogenic Incontinence Correct Answer: refers to the involuntary loss of urine due to extrinsic medical
factors - meds or procedures
What is a contraindication for the use of GoLytely before a colonoscopy? Correct Answer: Some elderly
patients cannot tolerate it and may result in electrolyte imbalances
Verified Answers
Ileal Conduit Correct Answer: Urine is diverted by implanting the ureter into a 12 cm loop of ileum that
is led out through the abdominal wall or the sigmoid colon, and that are anastomatized. This allows the
urine to drain from the kidneys temporarily to the stoma and provide an accurate measurement of urine
Complications of Ileal conduit? Correct Answer: wound infection or dehiscence
Urinary leakage
urethral obstruction
hyperchloremic acidosis
small bowel obstruction
ileus
gangrene of the stoma
Delayed complications include:ureteral obstruction, contraction or narrowing of the stoma(stenosis),
renal deterioration due to chronic reflux, pyelonephritis, or renal calculi.
Urinary Retention Correct Answer: Inability of the bladder to empty completely
Causes: age 50-100mL in adults over 60d/t decreased detrusor muscle) , diabetes, prostate enlargement,
pregnancy, , meds
neurologic disorders - stroke, spinal cord injuries, MS, or Parkinson's
POST OPERATIVE - ESPECIALLY ANAL OR PERINEAL REGIONS
S/S of urinary retention Correct Answer: difficulty starting stream
dribbling of urine
Nocturia
, small amounts, but frequently
Rounded pelvic or abdominal area
What is a complication of cystoscopy? Correct Answer: Urine retention
if a patient is having dysuria what is something that you could do to help? Correct Answer: provide
privacy
Complications of urinary retention can include: Correct Answer: overflow incontinence
chronic infections
renal calculi (urolithiasis or nephrolithiasis)
Pyelonephritis
Sepsis
*Hydronephrosis*
Stress incontinence Correct Answer: urination as a result of coughing, sneezing, or laughing
Urge incontinence Correct Answer: strong urge to void that can not be suppressed
can't reach the toilet in time
uninhibited detrusor muscle is the cause
Functional Incontinence Correct Answer: Lower urinary function is intact but other factors, such as
severe cognitive impairment Alzheimer's, dementia) make it difficult to identify the need to void.
Or the physical ability to move.
Iatrogenic Incontinence Correct Answer: refers to the involuntary loss of urine due to extrinsic medical
factors - meds or procedures
What is a contraindication for the use of GoLytely before a colonoscopy? Correct Answer: Some elderly
patients cannot tolerate it and may result in electrolyte imbalances
