NSG 3800 Exam 3 Questions with Verified
Correct Answers
BUN
10-20 mg/dL
Creatinine
0.6-1.1 mg/dL
RBC
4.2-6.1
HGB/HCT
12-16 F 14-18 M
37-47 F 42-52 M
Urinary incontinence prevention
Avoid caffeine, carbonation, alcohol, or artificial sweetener
Consume adequate fluid intake in a small increments
Establish a voiding schedule
PELVIC FLOOR EXERCISES
VOID ABOUT EVERY 2-3 HOURS
,Urinary Incontinence nursing care
Provide support and education (verbal and in writing)
Educate the use of a log or diary describing details surrounding incontinent event
Causes of transient incontinence
Atrophic vaginitis, urethritis, prostatitis
Delirium or confusion
UTI
Excessive urine production (increased intake, diabetes, diabetic ketoacidosis)
Limited or restricted activity
Pharmacologic agents (anticholinergic agents, sedatives, alcohol, analgesic agents, diuretics,
muscle relaxants, adrenergic agents)
Psychological factors (depression, regression)
Stool impaction or constipation
Fluid management
Adequate fluid intake (50-60 oz/1500-1600ml)
, Limit caffeine, alcohol, etc.
Pts need to discuss their daily fluid limit with their provider if they have HF or end-stage
kidney disease
Is incontinence a normal age related change?
NO!
Ask about UTI, infection, constipation, decreased fluid intake, and change in chronic disease
pattern to determine why they have incontinence.
Stress incontinence
Is the involuntary loss of urine through an intact urethra as a result of sneezing, coughing, or
changing position
More common in women who have had vaginal deliveries or other gyno procedures
In men it is often experienced after radical prostatectomy due to loss of urethral compression
that the prostate had supplied before the surgery
Urge incontinence
Involuntary loss of urine associated with a strong urge to void that cannot be suppressed
The patient is aware of the need to void but is unable to reach a toilet in time.
This can occur in a patient with NEUROLOGICAL DYSFUNCTION.
Functional incontinence
Correct Answers
BUN
10-20 mg/dL
Creatinine
0.6-1.1 mg/dL
RBC
4.2-6.1
HGB/HCT
12-16 F 14-18 M
37-47 F 42-52 M
Urinary incontinence prevention
Avoid caffeine, carbonation, alcohol, or artificial sweetener
Consume adequate fluid intake in a small increments
Establish a voiding schedule
PELVIC FLOOR EXERCISES
VOID ABOUT EVERY 2-3 HOURS
,Urinary Incontinence nursing care
Provide support and education (verbal and in writing)
Educate the use of a log or diary describing details surrounding incontinent event
Causes of transient incontinence
Atrophic vaginitis, urethritis, prostatitis
Delirium or confusion
UTI
Excessive urine production (increased intake, diabetes, diabetic ketoacidosis)
Limited or restricted activity
Pharmacologic agents (anticholinergic agents, sedatives, alcohol, analgesic agents, diuretics,
muscle relaxants, adrenergic agents)
Psychological factors (depression, regression)
Stool impaction or constipation
Fluid management
Adequate fluid intake (50-60 oz/1500-1600ml)
, Limit caffeine, alcohol, etc.
Pts need to discuss their daily fluid limit with their provider if they have HF or end-stage
kidney disease
Is incontinence a normal age related change?
NO!
Ask about UTI, infection, constipation, decreased fluid intake, and change in chronic disease
pattern to determine why they have incontinence.
Stress incontinence
Is the involuntary loss of urine through an intact urethra as a result of sneezing, coughing, or
changing position
More common in women who have had vaginal deliveries or other gyno procedures
In men it is often experienced after radical prostatectomy due to loss of urethral compression
that the prostate had supplied before the surgery
Urge incontinence
Involuntary loss of urine associated with a strong urge to void that cannot be suppressed
The patient is aware of the need to void but is unable to reach a toilet in time.
This can occur in a patient with NEUROLOGICAL DYSFUNCTION.
Functional incontinence
