WOCN Continence Final Study Guide with Complete Solutions

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-radical prostatectomy and is experiencing small volume stress UI. Which of the following is the best way to manage this problem? - CORRECT ANSWER-Absorptive shield. Which of the following describes an age-related change in the lower urinary tract that causes the need for more frequent urination? - CORRECT ANSWER-Reduced bladder capacity. What is a teaching principle for managing urinary retention due to an enlarged prostate? - CORRECT ANSWER-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? - CORRECT ANSWER-Uroflowme