NR 601 FINAL EXAM REVIEW
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
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
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.
UPDATE VERIFIED QUESTIONS &
DETAILED EXPLANATIONS GRADED
A+
Professional Academic Assistance Services
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
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.
