WOCN Continence Final Study Guide with Complete Solutions

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? - CORRECT ANSWER-Nystatin ointment. Which of the following requires immediate referral for further workup? - CORRECT ANSWER-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? - CORRECT ANSWER-Reduced bladder contractility. A person who has suffered a stroke is at risk for urinary incontinence due to which of the following neuro changes? - CORRECT ANSWER-Development of neurogenic detrusor overactivity. Patient taking opioid meds are at a higher risk for which of the following conditions? - CORRECT ANSWER-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? - CORRECT ANSWER-Neurological problems. The recommendations for CAUTI prevention in short-term use (2wks or less) of urinary catheters includes: - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-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? - CORRECT ANSWER-Volume of fluid intake. A male patient is 2 month's post-ra