Nsg 3100 Exam #3 Updated Questions And Correct Answers

NSG 3100 EXAM #3 UPDATED QUESTIONS AND
CORRECT ANSWERS
Question:
1. What is enuresis?
Answer:
Involuntary urination in children beyond the age when normal bladder control is established

Question:
2. What is secondary enure-sis?
Answer:
Child who has established proper bladder control for a period of 6 months, but who has since lapsed
back to wetting the bed

Question:
3. What factors may cause secondary enuresis? (4)
Answer:
1. Constipation
2. Stress
3. Illness
4. Poor daytime voiding habits

Question:
4. A decrease in kidney func-tion puts the patient at risk for what?
Answer:
Toxicity from medication if excretion rates are longer

Question:
5. The most noticeable changes with age are relat-ed to what?
Answer:
Bladder (urgency & frequency)

Question:
6. What causes changes in uri-nary urgency & frequency in men?
Answer:
Enlarged prostate gland

Question:
7. What causes changes in uri-nary urgency & frequency in women?
Answer:
Weakened muscles supporting the bladder and of the urethral sphincter after menopause (results from
decreased estrogen lev-els)

Question:
8. What interventions could be done to help the patient have more consistent uri-nation? (5)

,Answer:
1. Medications
2. Surgery
3. Behavioral training
4. Safe/easy access to bathroom
5. Habit training (scheduled time)

Question:
9. Urinary habits depend on what? (3)
Answer:
1. Social cultural
2. Personal habits
3. Physical abilities

Question:
10. Which factors affect urina-tion? (7)
Answer:
1. Developmental
2. Psychosocial
3. Fluid & food intake
4. Medications
5. Muscle tone
6. Pathologic conditions
7. Surgical & diagnostic procedures

Question:
11. Urinary elimination is af-fected by what? (5)
Answer:
1. Kidneys
2. Ureters
3. Bladder
4. Urethra
5. Pelvic floor

Question:
12. How do medications affect urination?
Answer:
1. Meds affecting ANS cause retention
2. Diuretics increase urine formation by preventing reabsorption
of water & electrolytes

Question:
13. How does muscle tone af-fect urination?
Answer:
Muscle tone is needed to maintain the stretch & contractility of the detrusor muscle so the bladder can
fill & empty completely

,Question:
14. What is the difference be-tween stress & urge incon-tinence?
Answer:
Stress: loss of urine control during activities that increase intra-ab-dominal pressure (coughing,
sneezing, laughing, or exercise) Urge: a sudden strong urge to void, followed by a rapid bladder
contraction

Question:
15. What is overflow inconti-nence?
Answer:
Inability to empty bladder completely, resulting in a constant drib-bling of urine or frequency in
urination

Question:
16. How does alcohol increase urination?
Answer:
Inhibits the production of ADH

Question:
17. What is the average daily fluid output for an adult?
(mL)
Answer:
1,400-1,500 mL

Question:
18. What is the average daily fluid intake for an adult?
(mL)
Answer:
1,200-1,500 mL

Question:
19. How much fluid are adults SUPPOSED to intake? (mL)
Answer:
2,500 mL

Question:
20. What is insensible fluid loss?
Answer:
The amount of fluid lost on a daily basis from the lungs, skin, respiratory tract, and water excreted in
the feces; the exact amount cannot be measured

Question:
21. What is obligatory water loss?
Answer:
Fluid loss that is required to maintain normal body function; nec-essary for temp regulation and
elimination of waste products

, Question:
22. How much fluid is lost through obligatory losses daily? (mL)
Answer:
1,300 mL

Question:
23. How often do infants uri-nate a day?
Answer:
Around 20 times

Question:
24. How often does a school-aged child urinate?
Answer:
6-8 times a day

Question:
25. How does ADH increase wa-ter reabsorption into the blood? (5)
Answer:
1. Blood osmolality increases
2. Osmoreceptors in hypothalamus stimulate posterior pituitary to
secrete ADH
3. ADH increases distal tubule permeability
4. Increase of water reabsorption of H2O
5. Urine output decreases

Question:
26. How does ADH decrease water reabsorption into the blood?
Answer:
1. Blood osmolality decreases
2. ADH is
3. ADH causes distal tubule to become less permeable to water
4. Decrease of water reabsorption of H2O
5. Urine output increases

Question:
27. Whats the normal range for urine specific gravity
Answer:
1.005-1.030

Question:
28. True or False: When test-ing for fecal occult blood, a green color indicates a gua-iac positive
result.
Answer:
False, should be blue

Question:
29. How do you obtain a ster-ile urine specimen from a patient with an indwelling catheter?