Test Bank for Urinary Retention- Questions and Correct Answers (Already Passed)
Urinary Retention - Answers Inability to empty the bladder
Who is it most common in? - Answers In men with BPH
overdistention causes - Answers poor contractility of the detrusor muscle, further impairing urination
Causes of Urinary retention - Answers *mechanical obstruction of the bladder outket
*BPH
*Acute inflammation associated w/ infection or trauma of the bladder, urethra, or perineal tissues
*Scarring caused by repeated UTI's
*bladder calculi
*Sx as a result of anesthesia
Risk Factors 4 retention - Answers Advanced Age, Males, Hx of previous prostate, bladder, or voiding
problems; Urinary incontinence; UTI; or prostatis; Cognitive impairment or confusion; diabetes;
Alcoholic neuropathy; previous transient ischemic attack, stroke, or neuro disease; constipation; ab pain;
immobility; chronic ;pain; emotional distress; and drugs.
Voluntary urinary retention is common among who? - Answers Nurses. It can lead to of bladder and loss
of detrusor muscle tone.
Prevention - Answers ID pts who may be at risk.
Further Dx testing.
Behavioral modification
Timed voiding is helpful for pts w/ cognitive impairment.
To prevent urinary distention, if needed patients should be assisted to: - Answers the toilet, provided
with a bedside commode, or taught self cath.
Manifestations - Answers *unable to empty the bladder completely
*firm distended bladder
*acute or chronic
* If severe=hydronephrosis, hydroureter, and acute renal failure
Acute urinary retention manifestatons - Answers -sudden and painful Inability to urinate
, -It is a medical emergency
-may be accompanied by bloating
Acute urinary retention is commonly caused by: - Answers -surgical procedure
-medications
-UTI's
-excessive fluid or alcohol intake
-BPH
Chronic urinary retention manifestations - Answers -Painless
-associated with Large postvoid residual volume
-difficulty starting and maintaining stream
-weak flow
- freq. urination, little success at voiding
-urge to urinate after voiding
-overflow voiding or incontinence
Over flow voiding or incontinence may occur with ____-____ mL of urine eliminated a frequent intervals
- Answers 25-50 mL
Assessment of clients with urinary retention reveals: - Answers -form distended bladder (may be
displaced to one side of midline)
-percussion of t he lower abdomen yields a dull tone (reflective of fluid in bladder)
Urinary retention is confirmed with: - Answers -bladder scan
-catheter insertion
-measurement of urine output
What is preferred to use to reduce the risk of UTI's? - Answers Bladder scan
severe urinary retention with resulting bladder distention impairs the ability of the ______ _______ to
prevent ________ or urine into ureters - Answers vesicoureteral junction, backflow
Dx tests - Answers *blood and urine tests
*xray, CT
Urinary Retention - Answers Inability to empty the bladder
Who is it most common in? - Answers In men with BPH
overdistention causes - Answers poor contractility of the detrusor muscle, further impairing urination
Causes of Urinary retention - Answers *mechanical obstruction of the bladder outket
*BPH
*Acute inflammation associated w/ infection or trauma of the bladder, urethra, or perineal tissues
*Scarring caused by repeated UTI's
*bladder calculi
*Sx as a result of anesthesia
Risk Factors 4 retention - Answers Advanced Age, Males, Hx of previous prostate, bladder, or voiding
problems; Urinary incontinence; UTI; or prostatis; Cognitive impairment or confusion; diabetes;
Alcoholic neuropathy; previous transient ischemic attack, stroke, or neuro disease; constipation; ab pain;
immobility; chronic ;pain; emotional distress; and drugs.
Voluntary urinary retention is common among who? - Answers Nurses. It can lead to of bladder and loss
of detrusor muscle tone.
Prevention - Answers ID pts who may be at risk.
Further Dx testing.
Behavioral modification
Timed voiding is helpful for pts w/ cognitive impairment.
To prevent urinary distention, if needed patients should be assisted to: - Answers the toilet, provided
with a bedside commode, or taught self cath.
Manifestations - Answers *unable to empty the bladder completely
*firm distended bladder
*acute or chronic
* If severe=hydronephrosis, hydroureter, and acute renal failure
Acute urinary retention manifestatons - Answers -sudden and painful Inability to urinate
, -It is a medical emergency
-may be accompanied by bloating
Acute urinary retention is commonly caused by: - Answers -surgical procedure
-medications
-UTI's
-excessive fluid or alcohol intake
-BPH
Chronic urinary retention manifestations - Answers -Painless
-associated with Large postvoid residual volume
-difficulty starting and maintaining stream
-weak flow
- freq. urination, little success at voiding
-urge to urinate after voiding
-overflow voiding or incontinence
Over flow voiding or incontinence may occur with ____-____ mL of urine eliminated a frequent intervals
- Answers 25-50 mL
Assessment of clients with urinary retention reveals: - Answers -form distended bladder (may be
displaced to one side of midline)
-percussion of t he lower abdomen yields a dull tone (reflective of fluid in bladder)
Urinary retention is confirmed with: - Answers -bladder scan
-catheter insertion
-measurement of urine output
What is preferred to use to reduce the risk of UTI's? - Answers Bladder scan
severe urinary retention with resulting bladder distention impairs the ability of the ______ _______ to
prevent ________ or urine into ureters - Answers vesicoureteral junction, backflow
Dx tests - Answers *blood and urine tests
*xray, CT
