Nursing 214 - Exam #2 Questions And Correc
Genitourinary cand cRenal cSystem cNormal cChanges cof cAging c- cCORRECT cANS✔✔•Decreased
crenal cblood cflow, cmax curinary cconcentration, cresponse cto csodium closs, cthirst
•Excretion cof cmore cfluid/electrolytes cat cnight
•Impaired cexcretion cof cdrugs/metabolites
•Change cin cability cto cconcentrate curine
•Bladder cis cmore cfibrous, cless csmooth cpliable cmuscle
•Detrusor cmuscles cbecome cless ccontractile cand csomewhat cunstable
•Variations cin cADH
Variations cin cADH c- cCORRECT cANS✔✔•Higher cbasal clevels c(Edema)
•Blunted cresponse cto chypotension cand chypovolemia
•Kidney cless cresponsive cto ccirculating cADH, cleads cto cpoorly cconcentrated curine cwhich cis crich c
Men cNormal cChanges cin cGenitourinary c& cRenal cSystem c- cCORRECT cANS✔✔•Up cto cage c90,
cviable csperm
•Decreased chormone clevel
•Shouldn't caffect cthe cability cto creproduce
Women cNormal cChanges cin cGenitourinary c& cRenal cSystem c- cCORRECT cANS✔✔•Cessation c
•Breast ctissue cis cless cfirm, ctissue cis creplaced cby cfat
•Decreased cestrogen, ccontributes cto cvaginal cthinning, cappearance cof cfacial chair, cand cdiminishe
Renal cFailure c- cCORRECT cANS✔✔•A cfailure cof ckidneys cto cremove cnitrogenous cwaste cfrom ct
cfluid/electrolytes cand cacid-base cbalance
•Can cbe ceither cAcute cor cChronic
Acute cRenal cFailure c- cCORRECT cANS✔✔•Pre-renal cproblem cwith cblood cflow cto cthe ckidney
•Renal cproblem cwith cthe cglomeruli cor ctubules cof cthe ckidney
•Post-renal cobstruction cof cthe coutflow cof curine
Acute cRenal cFailure cSigns/Symptoms c- cCORRECT cANS✔✔•Postural chypotension cis cthe cprima
coliguria
•Increased cBUN cand cCreatinine
•Dependent cedema
•Fatigue cand cdrowsiness
•Nausea cand cvomiting
•Flank cpain
Chronic cRenal cFailure cSigns/Symptoms c- cCORRECT cANS✔✔•Irreversible cdamage cto cthe ckidn
cpopulation
•Hypertension
•Pruitis
•Anemia
•Increased cserum cphosphate, ccalcium, cBUN, ccreatinine, cpotassium
, •Atrophic cvaginitis
•Prostatitis
•Low cfluid cintake
•Vaginal cchildbirth
•Diabetes
•Stroke
•UTIs c
•Incomplete cbladder cemptying
Types cof cUrinary cIncontinence c- cCORRECT cANS✔✔•Stress
•Urge
•Overflow
•Functional
•Mixed
Stress cIncontinence c- cCORRECT cANS✔✔•Involuntary closs cof curine cwhen cintraabdominal cpres
•Either cthe cpelvic cfloor cmuscles cor cthe cinternal curethral csphincter cis cnot cstrong cenough cto ccou
cbladder cand curine cis creleased
•Sneezing, ccoughing, claughing
Urge cIncontinence c- cCORRECT cANS✔✔•Detrusor cmuscle ccontracts cforcefully cand cunexpected
•Internal csphincter cis cunable cto cretain curine
•Person cfeels cthe cneed cto cgo cto cthe cBR curgently
•Overactive cbladder
Overflow cIncontinence c- cCORRECT cANS✔✔•A cblockage cof cthe curethra cmay cbe cthe ccause cof
cstretching cthe cbladder cmuscles cbeyond cthe cpoint cof ccontractility
•Muscles cmay cbe cunable cto ccontract cproperly cbecause cof cthe clack cof cinnervation
•Ex: cenlarged cprostate cobstructing cthe curethra, cand curine cbacking cup cinto cthe cbladder
Functional cIncontinence c- cCORRECT cANS✔✔•Incontinence crelated cto ccauses cexternal cto cthe c
•Immobility
•Dementia
Mixed cIncontinence c- cCORRECT cANS✔✔•More cthan cone ctype cof cincontinence
•Ex: curge c& cfunctional
•Intervention cis cfocus con cfiguring cout ctypes cof cincontinence cand cwhat ccan cbe cdone
Urinary cIncontinence cTreatments c- cCORRECT cANS✔✔•Bladder ctraining c
•Pelvic cfloor cexercises/Kegel cexercises
•Anti-incontinence cdevices c(Pessary)
•Anti-cholinergic cmeds
•Avoid ccaffeine, ccarbonated cbeverages, calcohol, ccitrus cjuices, cdiet cdrinks, csmoking
•Bladder csling csurgery
•Retain cquality cof clife
•Don't cuse cindwelling ccatheters c(increase cUTI's)
•Address cskin cbreakdown
•Absorbent cproducts c(don't ccall cdiapers)
Benign cProstate cHyperplasia c(BPH) c- cCORRECT cANS✔✔•Enlargement cof cthe cprostate
•Microscopic: chistological c(small ccell) cchanges
•Macroscopic: cpalpable cenlargement cof cgland cduring cdigital crectal cexam
•Clinical: cobservable csymptoms crelated cto cBPH
•A cnuisance; cmakes ca cprofound ceffect con cthe cindividual's cdaily cliving, cdifficulty cstarting ca cstrea
cstraining cto curinate, clonger ctime cneeded, cfeeling cincomplete cbladder cemptying
Genitourinary cand cRenal cSystem cNormal cChanges cof cAging c- cCORRECT cANS✔✔•Decreased
crenal cblood cflow, cmax curinary cconcentration, cresponse cto csodium closs, cthirst
•Excretion cof cmore cfluid/electrolytes cat cnight
•Impaired cexcretion cof cdrugs/metabolites
•Change cin cability cto cconcentrate curine
•Bladder cis cmore cfibrous, cless csmooth cpliable cmuscle
•Detrusor cmuscles cbecome cless ccontractile cand csomewhat cunstable
•Variations cin cADH
Variations cin cADH c- cCORRECT cANS✔✔•Higher cbasal clevels c(Edema)
•Blunted cresponse cto chypotension cand chypovolemia
•Kidney cless cresponsive cto ccirculating cADH, cleads cto cpoorly cconcentrated curine cwhich cis crich c
Men cNormal cChanges cin cGenitourinary c& cRenal cSystem c- cCORRECT cANS✔✔•Up cto cage c90,
cviable csperm
•Decreased chormone clevel
•Shouldn't caffect cthe cability cto creproduce
Women cNormal cChanges cin cGenitourinary c& cRenal cSystem c- cCORRECT cANS✔✔•Cessation c
•Breast ctissue cis cless cfirm, ctissue cis creplaced cby cfat
•Decreased cestrogen, ccontributes cto cvaginal cthinning, cappearance cof cfacial chair, cand cdiminishe
Renal cFailure c- cCORRECT cANS✔✔•A cfailure cof ckidneys cto cremove cnitrogenous cwaste cfrom ct
cfluid/electrolytes cand cacid-base cbalance
•Can cbe ceither cAcute cor cChronic
Acute cRenal cFailure c- cCORRECT cANS✔✔•Pre-renal cproblem cwith cblood cflow cto cthe ckidney
•Renal cproblem cwith cthe cglomeruli cor ctubules cof cthe ckidney
•Post-renal cobstruction cof cthe coutflow cof curine
Acute cRenal cFailure cSigns/Symptoms c- cCORRECT cANS✔✔•Postural chypotension cis cthe cprima
coliguria
•Increased cBUN cand cCreatinine
•Dependent cedema
•Fatigue cand cdrowsiness
•Nausea cand cvomiting
•Flank cpain
Chronic cRenal cFailure cSigns/Symptoms c- cCORRECT cANS✔✔•Irreversible cdamage cto cthe ckidn
cpopulation
•Hypertension
•Pruitis
•Anemia
•Increased cserum cphosphate, ccalcium, cBUN, ccreatinine, cpotassium
, •Atrophic cvaginitis
•Prostatitis
•Low cfluid cintake
•Vaginal cchildbirth
•Diabetes
•Stroke
•UTIs c
•Incomplete cbladder cemptying
Types cof cUrinary cIncontinence c- cCORRECT cANS✔✔•Stress
•Urge
•Overflow
•Functional
•Mixed
Stress cIncontinence c- cCORRECT cANS✔✔•Involuntary closs cof curine cwhen cintraabdominal cpres
•Either cthe cpelvic cfloor cmuscles cor cthe cinternal curethral csphincter cis cnot cstrong cenough cto ccou
cbladder cand curine cis creleased
•Sneezing, ccoughing, claughing
Urge cIncontinence c- cCORRECT cANS✔✔•Detrusor cmuscle ccontracts cforcefully cand cunexpected
•Internal csphincter cis cunable cto cretain curine
•Person cfeels cthe cneed cto cgo cto cthe cBR curgently
•Overactive cbladder
Overflow cIncontinence c- cCORRECT cANS✔✔•A cblockage cof cthe curethra cmay cbe cthe ccause cof
cstretching cthe cbladder cmuscles cbeyond cthe cpoint cof ccontractility
•Muscles cmay cbe cunable cto ccontract cproperly cbecause cof cthe clack cof cinnervation
•Ex: cenlarged cprostate cobstructing cthe curethra, cand curine cbacking cup cinto cthe cbladder
Functional cIncontinence c- cCORRECT cANS✔✔•Incontinence crelated cto ccauses cexternal cto cthe c
•Immobility
•Dementia
Mixed cIncontinence c- cCORRECT cANS✔✔•More cthan cone ctype cof cincontinence
•Ex: curge c& cfunctional
•Intervention cis cfocus con cfiguring cout ctypes cof cincontinence cand cwhat ccan cbe cdone
Urinary cIncontinence cTreatments c- cCORRECT cANS✔✔•Bladder ctraining c
•Pelvic cfloor cexercises/Kegel cexercises
•Anti-incontinence cdevices c(Pessary)
•Anti-cholinergic cmeds
•Avoid ccaffeine, ccarbonated cbeverages, calcohol, ccitrus cjuices, cdiet cdrinks, csmoking
•Bladder csling csurgery
•Retain cquality cof clife
•Don't cuse cindwelling ccatheters c(increase cUTI's)
•Address cskin cbreakdown
•Absorbent cproducts c(don't ccall cdiapers)
Benign cProstate cHyperplasia c(BPH) c- cCORRECT cANS✔✔•Enlargement cof cthe cprostate
•Microscopic: chistological c(small ccell) cchanges
•Macroscopic: cpalpable cenlargement cof cgland cduring cdigital crectal cexam
•Clinical: cobservable csymptoms crelated cto cBPH
•A cnuisance; cmakes ca cprofound ceffect con cthe cindividual's cdaily cliving, cdifficulty cstarting ca cstrea
cstraining cto curinate, clonger ctime cneeded, cfeeling cincomplete cbladder cemptying
