NURS 1067 Week 11 Final Exam Review
UPDATED ACTUAL Questions and
CORRECT Answers
impaired urinary elimination - CORRECT ANSWER- ✔✔a general diagnosis; diagnosis
allow nurses to support clients until a more specific nursing diagnosis or medical diagnosis
can be made, stress incontinence, urge incontinence.
urinary incontinence - CORRECT ANSWER- ✔✔uncontrolled loss of urine that is of
sufficient magnitude to be a problem; can affect anyone across the lifespan, however higher
prevalence among older adults; among younger adults, affects more women than men; affects
the quality of life and may have serious health consequences; UI is a symptom due to various
causes.
urinary retention - CORRECT ANSWER- ✔✔inability to empty the bladder despite
micturition or the accumulation of urine in the bladder because of an inability to urinate.
chronic (urinary retention) - CORRECT ANSWER- ✔✔-Chronic: incomplete bladder
emptying despite urination
acute (urinary retention) - CORRECT ANSWER- ✔✔-Acute: total inability to pass urine
Medical emergency
(causes) Urinary Retention - CORRECT ANSWER- ✔✔Deficient detrusor muscle strength,
Detrusor muscle does not contract with enough force to empty bladder, Neurological
diseases, over distension of bladder, alcoholism, medications(anticholinergics)
(causes) Urinary Retention - CORRECT ANSWER- ✔✔Bladder outlet obstruction, Bladder
cant empty due to an obstruction
(causes) urinary retention - CORRECT ANSWER- ✔✔Additional causes,Surgical or
childbirth trauma, fecal impaction
, Urinary Retention - Clinical Manifestations - CORRECT ANSWER- ✔✔Feelings
of:pressure, discomfort, tenderness of suprapubic area, restlessness;Diaphoresis;
Overflow incontinence
Voiding small amounts frequently, no relief or comfort post void;
Post-residual void > 150ml
Health History - CORRECT ANSWER- ✔✔Past medical health history (related
comorbidities);
Infectious status, diabetes, cognitive impairment, Parkinsonism, arthritis, back problems,
sensory impairment, visual & hearing impairments
Health History - CORRECT ANSWER- ✔✔Lifestyle factors (smoking, obesity);Medications
diuretics, morphine, sedatives;Environment, cognitive, functional status
Physical Assessment - CORRECT ANSWER- ✔✔Signs and symptoms of
dehydration;Inspect perineal area;Assess skin integrity, rash, discharge?
;Kidneys and bladder
Distention → Retention
Post-void residual → Retention (use of bladder scan);Flank pain;Assess urine ACCO
Related Nursing Diagnoses - CORRECT ANSWER- ✔✔-Toileting self care deficit
-Risk for impaired skin integrity
-Risk for infection
-Diagnoses related to stress, self-esteem, personal identity, social isolation, disturbed body
image
-Impaired comfort
-Pain
Nursing Interventions - CORRECT ANSWER- ✔✔Keep a bladder log
Promote and maintain regular voiding patterns,Be available, answer call bells, give patient
time to void completely,Bladder/Habit training
UPDATED ACTUAL Questions and
CORRECT Answers
impaired urinary elimination - CORRECT ANSWER- ✔✔a general diagnosis; diagnosis
allow nurses to support clients until a more specific nursing diagnosis or medical diagnosis
can be made, stress incontinence, urge incontinence.
urinary incontinence - CORRECT ANSWER- ✔✔uncontrolled loss of urine that is of
sufficient magnitude to be a problem; can affect anyone across the lifespan, however higher
prevalence among older adults; among younger adults, affects more women than men; affects
the quality of life and may have serious health consequences; UI is a symptom due to various
causes.
urinary retention - CORRECT ANSWER- ✔✔inability to empty the bladder despite
micturition or the accumulation of urine in the bladder because of an inability to urinate.
chronic (urinary retention) - CORRECT ANSWER- ✔✔-Chronic: incomplete bladder
emptying despite urination
acute (urinary retention) - CORRECT ANSWER- ✔✔-Acute: total inability to pass urine
Medical emergency
(causes) Urinary Retention - CORRECT ANSWER- ✔✔Deficient detrusor muscle strength,
Detrusor muscle does not contract with enough force to empty bladder, Neurological
diseases, over distension of bladder, alcoholism, medications(anticholinergics)
(causes) Urinary Retention - CORRECT ANSWER- ✔✔Bladder outlet obstruction, Bladder
cant empty due to an obstruction
(causes) urinary retention - CORRECT ANSWER- ✔✔Additional causes,Surgical or
childbirth trauma, fecal impaction
, Urinary Retention - Clinical Manifestations - CORRECT ANSWER- ✔✔Feelings
of:pressure, discomfort, tenderness of suprapubic area, restlessness;Diaphoresis;
Overflow incontinence
Voiding small amounts frequently, no relief or comfort post void;
Post-residual void > 150ml
Health History - CORRECT ANSWER- ✔✔Past medical health history (related
comorbidities);
Infectious status, diabetes, cognitive impairment, Parkinsonism, arthritis, back problems,
sensory impairment, visual & hearing impairments
Health History - CORRECT ANSWER- ✔✔Lifestyle factors (smoking, obesity);Medications
diuretics, morphine, sedatives;Environment, cognitive, functional status
Physical Assessment - CORRECT ANSWER- ✔✔Signs and symptoms of
dehydration;Inspect perineal area;Assess skin integrity, rash, discharge?
;Kidneys and bladder
Distention → Retention
Post-void residual → Retention (use of bladder scan);Flank pain;Assess urine ACCO
Related Nursing Diagnoses - CORRECT ANSWER- ✔✔-Toileting self care deficit
-Risk for impaired skin integrity
-Risk for infection
-Diagnoses related to stress, self-esteem, personal identity, social isolation, disturbed body
image
-Impaired comfort
-Pain
Nursing Interventions - CORRECT ANSWER- ✔✔Keep a bladder log
Promote and maintain regular voiding patterns,Be available, answer call bells, give patient
time to void completely,Bladder/Habit training
