NCHP Exam 3 Questions with Correct Answers Solved 100%

NCHP Exam 3 Questions with Correct Answers Solved 100% urinary retention - Answers abnormal accumulation of urine in the bladder because of an inability to urinate post void residual - Answers PVR Check with a bladder scanner, then via straight catheter urinary tract infection (UTI) - Answers infection of one or more organs of the urinary tract Can be caused by an indwelling cath, urinary retention, incontinence, poor perineal hygiene urinary incontinence - Answers the inability to control the voiding of urine; involuntary loss of urine nitrites - Answers Bacterial enzymes turn nitrates into ___, which are indicative of UTIs urine culture - Answers U/C urine culture/sensitivity - Answers Procedure in which the lab grows whatever bacteria is in the urine specimen to indicate the type; then it is tested against different drugs to see which antibiotic will kill it 18-24 months - Answers Children cannot voluntarily control voiding until... benign prostatic hyperplasia - Answers BPH This causes a swelling of the prostate, which can cause obstruction of the bladder outlet, causing urinary retention mechanical obstruction, altered neural control - Answers Urinary retention in the postoperative period has 2 main causes: cystoscopy - Answers ____ can cause localized trauma to the urethra, resulting in transient (1-2 days) dysuria and hematuria. The patient should be instructed to drink plenty of fluids to flush out the blood. pyelonephritis - Answers inflammation of the kidney and renal pelvis due to infection UTI - Answers Delirium, confusion, loss of appetite, mental status changes, incontinence, and falls are atypical signs of ___ seen in older adults transient incontinence - Answers incontinence caused by medical conditions that in many cases are treatable and reversible functional incontinence - Answers Incontinence caused by factors outside the urinary tract (physical/mental/functional deficits) overflow incontinence - Answers Caused by overdistension of the bladder due to poor or absent bladder contractions stress incontinence - Answers Involuntary leakage due to increased intra-abdominal pressure (coughing, laughing, sneezing) kegels - Answers Exercise to increase sphincter tone by tightening, holding, and releasing muscles of the pelvic floor and sphincter, used to improve incontinence. double voiding - Answers Remaining at the toilet after initial voiding to allow time for additional urine volume to be excreted Tx for overflow urinary incontinence timed voiding - Answers An intervention technique for bladder management in which toileting is scheduled at fixed time intervals urgency incontinence - Answers Involuntary passage of urine associated with a strong sense of urgency usually related to neurological or infectious processes reflex incontinence - Answers Involuntary loss of urine occurring at somewhat predictable intervals when patient reaches specific bladder volume related to spinal cord damage between C1 to S2 autonomic dysreflexia - Answers (potentially life threatening emergency!) HOB elevate 90 degrees, loosen constrictive clothing, assess for full bladder or bowel impaction, (trigger) administer antihypertensives (may cause stroke, MI, seizure) urinary diversion - Answers surgical creation of an alternate route for excretion of urine continent urinary reservoir - Answers a surgical alternative that uses a section of the intestine to create an internal reservoir that holds urine, with the creation of a catheterizable stoma. The stoma exits through the stomach, and must be emptied via straight cath every 4-6 hours ileal conduit - Answers Urinary diversion in which the ureters are connected to the ileum with a stoma created on the abdominal wall; the patient can see and empty the bag nephrostomy - Answers the placement of a catheter to maintain an opening from the pelvis of one or both kidneys to the exterior of the body. This is not often given and has a high risk for infections. clean technique - Answers Perineal care requires what technique? sterile technique - Answers Invasive procedures (i.e. catheter insertion) require what technique? polyuria - Answers excessive production of urine oliguria - Answers scanty production of urine nocturia - Answers excessive urination during the night hematuria - Answers presence of blood in the urine orange - Answers Phenazopyridine may cause urine to be ___ dark amber - Answers Liver disease may cause urine to be ___