CONTINENCE FINAL STUDY GUIDE

Physical exam of a patient with diarrhea reveals a perineal rash with erythematous papules surrounding a central confluent area. Which of the following is the first intervention to consider? - Answer-Nystatin ointment. Which of the following requires immediate referral for further workup? - Answer-New onset of painless hematuria. Which of the following is an age-related change in the lower urinary system that should be taken into consideration when assessing the elderly person for continence concerns? - Answer-Reduced bladder contractility. A person who has suffered a stroke is at risk for urinary incontinence due to which of the following neuro changes? - Answer-Development of neurogenic detrusor overactivity. Patient taking opioid meds are at a higher risk for which of the following conditions? - Answer-Urinary retention. During an anorectal exam, the examiner elicits the "anal wink." No response to this test may be indicative of which of the following? - Answer-Neurological problems. The recommendations for CAUTI prevention in short-term use (2wks or less) of urinary catheters includes: - Answer-Use of silver alloy catheters. The WOC nurse is explaining treatment options to a female patient diagnosed with mixed UI. Which statement by the nurse accurately describes current therapy? - Answer-Initial treatment is directed at improving sphincter function and reducing bladder overactivity. The first step in managing large volume liquid stool is which of the following? - Answer-External fecal collection pouch. A 28 year old patient with in non-parous complains of urinary frequency. She consumes 5 qts of water a day and is not physically active. She denies any history of cystitis. Which of the following is the most likely cause of this patient's urinary frequency? - Answer-Volume of fluid intake. A male patient is 2 month's post-radical prostatectomy and is experiencing small volume stress UI. Which of the following is the best way to manage this problem? - Answer-Absorptive shield. Which of the following describes an age-related change in the lower urinary tract that causes the need for more frequent urination? - Answer-Reduced bladder capacity.