Continence Final Study Guide

Continence Final Study Guide Physical exam of a patient with diarrhea reveals a perineal rash with erythematous papules surrounding a central confluent area. Which of the following is the first intervention to consider? - Nystatin ointment. Which of the following requires immediate referral for further workup? - New onset of painless hematuria. Which of the following is an age-related change in the lower urinary system that should be taken into consideration when assessing the elderly person for continence concerns? - Reduced bladder contractility. A person who has suffered a stroke is at risk for urinary incontinence due to which of the following neuro changes? - Development of neurogenic detrusor overactivity. Patient taking opioid meds are at a higher risk for which of the following conditions? - Urinary retention. During an anorectal exam, the examiner elicits the "anal wink." No response to this test may be indicative of which of the following? - Neurological problems. The recommendations for CAUTI prevention in short-term use (2wks or less) of urinary catheters includes: - Use of silver alloy catheters. The WOC nurse is explaining treatment options to a female patient diagnosed with mixed UI. Which statement by the nurse accurately describes current therapy? - Initial treatment is directed at improving sphincter function and reducing bladder overactivity. The first step in managing large volume liquid stool is which of the following? - External fecal collection pouch. A 28 year old patient with in non-parous complains of urinary frequency. She consumes 5 qts of water a day and is not physically active. She denies any history of cystitis. Which of the following is the most likely cause of this patient's urinary frequency? - Volume of fluid intake. A male patient is 2 month's post-radical prostatectomy and is experiencing small volume stress UI. Which of the following is the best way to manage this problem? - Absorptive shield. Which of the following describes an age-related change in the lower urinary tract that causes the need for more frequent urination? - Reduced bladder capacity. What is a teaching principle for managing urinary retention due to an enlarged prostate? - Clean intermittent cath 4x daily while awake. A 60 year old male patient presents with frequent, low volume urine, and feels the need to strain to void. Which of the following would be the best screening tool to assess these symptoms? - Uroflowmetry. Which of the following objectively monitors the course of treatment progress for fecal incontinence? - Bowel diary. During the process of normal defecation, which action occurs following sensory awareness of the need to defecate? - Relaxation of the internal anal sphincter and contraction of the external anal sphincter. A patient with Parkinson's diseases lives in a nursing home. She has 2 or fewer BMs per week and is incontinent of liquid stool. Which of the following should be done initially to correct this problem? - Assess for fecal impaction. The primary treatment goal when using a bed alarm system to manage childhood enuresis is to: - Wake the child to the sensation of a full bladder. A 28 year old woman complains of urine leakage when she plays tennis. Which of the following assessment techniques will yield date to diagnose stress incontinence? - Bladder diary. Teaching points for pelvic floor muscle exercises includes - Perform in supine, sitting, and standing positions. The first line treatment for a female with mild stress UI includes - Life style management and behavioral therapy. Overactive bladder can be managed best by which of the following options? - Antimuscarinics and elimination of bladder irritants. Which of the following characteristics distinguishes acute/transient UI from chronic UI? - Is short term and usually curable. Which of the following best describes the main function of the urethra? - Serves as a conduit for eliminating urine from the bladder.