NR 304 Final Exam Review- Chamberlain Questions With Complete Solutions
Most common type of UI in men and women? - (ANSWER)Men is urgency and women is stress
What is urge UI? - (ANSWER)Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? - (ANSWER)Sneezing, coughing, laughing, pressure.
What is mixed incontinence? - (ANSWER)Both stress and urgency
Risk factors for UI? - (ANSWER)Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older patients with UI? - (ANSWER)Behavioral therapy
What does behavioral therapy include for UI? - (ANSWER)Weightloss, stop caffeinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon.
Bladder trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? - (ANSWER)Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class? - (ANSWER)Detrol
(tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS criteria -
(ANSWER)Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence? - (ANSWER)Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older women
with UI? - (ANSWER)Weight loss
,NR 304 Final Exam Review- Chamberlain Questions With Complete Solutions
Treatment of UI in older persons should be be proceeded how? - (ANSWER)Step wise process. Stating
with addressing first comorbidities and medications, then lifestyle interventions, behavioral treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? - (ANSWER)The most bothersome factors
All patients with UI should be screened for?ex? - (ANSWER)Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ? - (ANSWER)High fluid intake, and or use of caffeinated drinks or
alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind of
symptoms? What should be done? - (ANSWER)Red flag symptoms. For underlying neurologic or
neoplastic disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? - (ANSWER)UI may be precipitated
or worsened by outside factors of urinary tract, including meds, mobility, environment, mentation,
manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the effect of
treatment? - (ANSWER)Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? - (ANSWER)Both behavioral and drug therapy. Than
either alone
Morbidity with UI are? - (ANSWER)Skin breakdown, falls. Fractures
Symptoms of UTI? - (ANSWER)Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who? - (ANSWER)Older adults in nursing homes, or hospitals.
, NR 304 Final Exam Review- Chamberlain Questions With Complete Solutions
Asymptomatic bacteriuria increases with? - (ANSWER)Age and debility
For older adults, treatment should not be initiated only based on symptoms... why? -
(ANSWER)Common symptoms can mimic other diseases
Post menopausal women may also complain of? - (ANSWER)Low back pain, nocturia, incontinence, and
constipation.
Why is bacteruria and UTI so common in older adults? - (ANSWER)There are conditions or diseases that
lead to alterations in normal flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? - (ANSWER)Positive for nitrates and leukocytes + symptoms present
What are common signs and Symptoms of UTI in LTC? - (ANSWER)Change in mental Status and
characteristics of urine
What is not a useful indicator for UTI? - (ANSWER)Presence of pyuria >10 WBC
What other diseases can show presence of pyuria ( >10)? - (ANSWER)Nephrolithiasis, IBD, diverticulitis,
intro abdominal abscess
Treatment of dirty urine in the older adult population with asymptomatic bacteria is? - (ANSWER)Not
beneficial
What is uncomplicated UTI? - (ANSWER)A healthy person w/o a catheter and no Symptoms of
polynephritis.it is directed to E. coli
Treatment for uncomplicated UTI? - (ANSWER)Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months
or resistance to sulfas)
Most common type of UI in men and women? - (ANSWER)Men is urgency and women is stress
What is urge UI? - (ANSWER)Feeling of needing to go right away. Rush to the bathroom.
What is stress UI? - (ANSWER)Sneezing, coughing, laughing, pressure.
What is mixed incontinence? - (ANSWER)Both stress and urgency
Risk factors for UI? - (ANSWER)Female, obesity, dm, depression, stroke, fecal incontinence,
hysterectomy.
What is the first line therapy for most older patients with UI? - (ANSWER)Behavioral therapy
What does behavioral therapy include for UI? - (ANSWER)Weightloss, stop caffeinated beverages and
alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon.
Bladder trainings, kegal exercises, and prompted voiding.
Which med can be used for OAB? S/e? - (ANSWER)Myrbetriq; can cause high BP.
What medications can be used for urge incontinence and OAB? What are their class? - (ANSWER)Detrol
(tolterodine), ditropan (oxybutinin)
These are anticholinergics/antimuscarinics
Antimuscarinics and anticholinergics should be avoided in which patients?according to BEERS criteria -
(ANSWER)Patients with dementia or cognitive impairment
What is the gold standard treatment for women with stress incontinence? - (ANSWER)Surgery
What is the only evidenced based lifetsyle intervention for for moderately obese younger older women
with UI? - (ANSWER)Weight loss
,NR 304 Final Exam Review- Chamberlain Questions With Complete Solutions
Treatment of UI in older persons should be be proceeded how? - (ANSWER)Step wise process. Stating
with addressing first comorbidities and medications, then lifestyle interventions, behavioral treatment,
pharmacological treatment, minimally invasive procedures or surgeries.
Management of UI should focus on what? - (ANSWER)The most bothersome factors
All patients with UI should be screened for?ex? - (ANSWER)Functional status and depression.
Functional impairment can be assessed by timed up and go and minicog test
Urinary frequency may reflect what ? - (ANSWER)High fluid intake, and or use of caffeinated drinks or
alcohol.
Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind of
symptoms? What should be done? - (ANSWER)Red flag symptoms. For underlying neurologic or
neoplastic disease. Requires immediate referral to neuro, uro, gyno.
What is the key difference between UI in younger and older persons? - (ANSWER)UI may be precipitated
or worsened by outside factors of urinary tract, including meds, mobility, environment, mentation,
manual dexterity.
What is an assessment tool for UI bother and quality of life? And can be used to assess for the effect of
treatment? - (ANSWER)Urogenital distress index 6, min dif in score is 5/11
What kind of therapy is most efficacious for UI? - (ANSWER)Both behavioral and drug therapy. Than
either alone
Morbidity with UI are? - (ANSWER)Skin breakdown, falls. Fractures
Symptoms of UTI? - (ANSWER)Dysuria, frequency, urgency, hematuria
UTI is the most common infection seen in who? - (ANSWER)Older adults in nursing homes, or hospitals.
, NR 304 Final Exam Review- Chamberlain Questions With Complete Solutions
Asymptomatic bacteriuria increases with? - (ANSWER)Age and debility
For older adults, treatment should not be initiated only based on symptoms... why? -
(ANSWER)Common symptoms can mimic other diseases
Post menopausal women may also complain of? - (ANSWER)Low back pain, nocturia, incontinence, and
constipation.
Why is bacteruria and UTI so common in older adults? - (ANSWER)There are conditions or diseases that
lead to alterations in normal flora, urinary stasis and obstruction as we age.
Shifts in perineal flora and ph bc if estrogen deficiency occurs.
Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI.
Urethra orifice can also be contaminated.
What is the UA results for UTI? - (ANSWER)Positive for nitrates and leukocytes + symptoms present
What are common signs and Symptoms of UTI in LTC? - (ANSWER)Change in mental Status and
characteristics of urine
What is not a useful indicator for UTI? - (ANSWER)Presence of pyuria >10 WBC
What other diseases can show presence of pyuria ( >10)? - (ANSWER)Nephrolithiasis, IBD, diverticulitis,
intro abdominal abscess
Treatment of dirty urine in the older adult population with asymptomatic bacteria is? - (ANSWER)Not
beneficial
What is uncomplicated UTI? - (ANSWER)A healthy person w/o a catheter and no Symptoms of
polynephritis.it is directed to E. coli
Treatment for uncomplicated UTI? - (ANSWER)Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months
or resistance to sulfas)
