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A&E final exam (new content) questions and answers (latest update 2025/2026)

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A&E final exam (new content) questions and answers (latest update 2025/2026) Urinary Incontinence - Answer -Involuntary leakage of urine --more prevalent with older adults (women more than men) but not a natural consequence of aging --gender differences ---Men: common with BPH or prostate cancer; overflow incontinence from urinary retention ---Women: stress and urge incontinence -transient or "new onset" -chronic Types of incontiences - Answer -stress -urge -overflow -functional -mixed (may have more than one type) UI risk factors - Answer -weak bladder muscles -overactive bladder muscles -weak pelvic floor muscles -debility -arthritis -pelvic organ prolapse -BPH/prostatits -infection new onset incontinence - Answer Always a nursing priority Delirium Infection--urinary (symptomatic) Atrophic urethritis and vaginitis Pharmaceuticals Psychologic disorders, especially depression Excessive urine output (e.g. heart failure or hyperglycemia) Restricted mobility Stool impaction Stress Incontinence - Answer -weakened external sphincter/pelvic floor, increased intra-abdominal pressure -small urine loss during sneezing, laughing, exercise -most common in women under age of 60, men after prostate surgery Stress incontinence interventions - Answer -journaling, behavioral interventions, diet modification, pelvic floor (Kegel) exercises -diet therapy -drug therapy: estrogen -surgery -vaginal cone therapy Urge incontinence - Answer -detrusor instability, internal sphincter weakness -overactive bladder and losses of large amounts of urine -older adults most affected, with older men more affected Urge incontinence interventions - Answer -drugs: anticholinergics, antihistamines, others -diet therapy: avoid caffeine and alcohol -behavioral interventions: exercises, bladder training, habit training, electrical stimulation Overflow incontinence - Answer -bladder muscles overextended and have poor tone, overflow of retained urine -"dribbling" or constant losses of small amounts of urine -occurs in people with diabetes mellitus, men with enlarged prostates, and those taking calcium channel blockers/anticholinergics Overflow incontinence interventions - Answer -surgery to relieve obstruction

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