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NURS 209 NEW EXAM WITH ACCURATE ANSWERS 100% VERIFIED

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NURS 209 NEW EXAM WITH ACCURATE ANSWERS
100% VERIFIED


Where does sympathetic innervation arise regarding the sacral micturition center

In thoracolumbar outflow of the spinal cord, T11-L2



Where does parasympathetic and somatic innervation originate regarding the sacral
micturition center

In the sacral segments of the spinal cord S2-S4



What is the trigger for micturition

The reflex is prompted primarily by a cholinergic (PNS) pathway.



What is stress urinary incontinence

The involuntary loss of urine on effort of physical exertion.



What is the most common type of Urinary incontinence

stress urinary incontinence



what causes stress urinary incontinence

failure of the sphincter mechanism to preserve outlet closure during bladder filling



characteristic or stress urinary incontinence

- weakness of pelvic floor musculature and urethral hyper-mobility

- bladder outlet or urethral sphincter weakness

- obesity, deconditioned muscles, and hysterectomy in women

,- post-prostatectomy sphincter weakness



what is urgency urinary incontinence

involuntary loss of urine associated with urgency



what occurs with urgency urinary incontinence

sudden, involuntary contraction of the bladder muscle and leading to strong desire to
urinate, inability to hold urine long enough for toilet



characteristic of urgency urinary incontinence

- detrusor hyperactivity

- tumors, stones, diverticuli, outflow obstruction (local GI condition)

- bladder irritation caused by, cystitis, prostatitis, atrophic vaginitis, bladder diverticuli,
prior pelvic radiation therapy

- CNS disorders



what is overactive bladder

sudden and strong urge to urinate that a person cannot control

- nocturia with or without incontinence

- no detectable disease




what are the two types of overactive bladder

OAB-wet

OAB-dry




Mixed urinary incontinence

, complaints of both stress and urgency urinary incontinence




overflow urinary incontinence

symptomatic presence of an excessively over-full bladder - no cause




when does overflow urinary incontinence occur

frequent leakage of urine w/o urge to urinate or inability to urinate normal volumes




what is functional incontinence

inability to reach the toilet on time for voiding because of a physical or medical disability



what is disability associated urinary incontinence

presence of a function inability to reach a toilet/urinal in time because of a physical
and/or mental impairment

unwilling to attempt to reach toilet



what can cause disability associated urinary incontinence

severe dementia, neurologic disorders

psychological factors - depression and hostility



NSAIDs effect on GI system (ulcers)

impair the biosynthesis of prostaglandins, reduce submucosal blood flow, inhibit
secretion of mucous and bicarbonate, and stimulate secretion of gastric acid

- can directly irritate the mucosa

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