NUR 677 Exam 3 With 100% Correct And Verified Answers 2024

NUR 677 Exam 3 With 100% Correct And Verified Answers 2024 Diagnostic Criteria - Correct Answer- Exam 3 Study Guide: - Correct Answer- UROLOGY - Correct Answer- Know the TYPES of INCONTINENCE and what diagnostic TESTING to order for each. - Correct Answer- • - Correct Answer-Urinary Incontinence: o - Correct Answer-Involuntary loss of urine from the bladder o - Correct Answer-Frequently seen in women o - Correct Answer-Common in older men as a result of an enlarging prostate o - Correct Answer-Transient UI: - Correct Answer-sudden onset with causes including delirium, infection, medications, underlying systemic illness o - Correct Answer-Affects quality of life and may be psychologically devastating o - Correct Answer-Can lead to social isolation, body image problems, anxiety, or depression; therefore, prompt treatment is essential • - Correct Answer-Overactive Bladder: o - Correct Answer-Syndrome of symptoms that include urgency, frequency, and nocturia o - Correct Answer-Caused by involuntary contractions of the detrusor muscle Education & Treatment: - Correct Answer- o - Correct Answer-Limit alcohol and caffeine o - Correct Answer-Antimuscarinic (block bladder contractions) - Correct Answer-Detrol, Ditropan, Vesicare, Enablex, Sanctura, Gelnique, Toviaz - Correct Answer-Don't use if they have: • - Correct Answer-Glaucoma, Myasthenia gravis, Gastric obstruction, Colitis, Urinary Retention, Gastric retention o - Correct Answer-Tricyclic Antidepressants - Correct Answer-Elavil, Tofranil • - Correct Answer-STRESS Incontinence: "Increased Intra-abdominal Pressure" o - Correct Answer-Incontinence from coughing, sneezing, and laughing which increase intra-abdominal pressure o - Correct Answer-Bladder is unable to retain urine due to: - Correct Answer-Hypermobility of the bladder neck - Correct Answer-Intrinsic sphincter deficiency - Correct Answer-Neurogenic sphincter deficiency - Correct Answer-Medications: sedatives, hypnotics, alpha blockers, and/or antispasmodics o - Correct Answer-Patients report urine leakage with coughing or sneezing and typically have a history of vaginal deliveries and/or hysterectomy Diagnostics: - Correct Answer- o - Correct Answer-Pelvic exam o - Correct Answer-Pad test to determine the amount and frequency of leakage o - Correct Answer-Cough stress test o - Correct Answer-Urinalysis with culture and sensitivity o - Correct Answer-Video-urodynamics and/or cystometrogram Education & Treatment: - Correct Answer- o - Correct Answer-Kegel exercises o - Correct Answer-Weight loss (if obese) o - Correct Answer-Eliminate diuretics o - Correct Answer-Antimuscarinic (block bladder contractions) - Correct Answer-Detrol, Ditropan, Vesicare, Enablex, Sanctura, Gelnique, Toviaz - Correct Answer-Don't use if they have: • - Correct Answer-Glaucoma, Myasthenia gravis, Gastric obstruction, Colitis, Urinary Retention, Gastric retention o - Correct Answer-Topical Estrogen - Correct Answer-Premarin cream, Estrace cream, Estring - Correct Answer-Don't use if they have: • - Correct Answer-Breast CA, Thromboembolic disorders, Pregnancy • - Correct Answer-URGE Incontinence: "detrusor instability" o - Correct Answer-Involuntary leakage of urine from inability to delay voiding Causes: - Correct Answer- o - Correct Answer-UTI, vaginitis, bladder stones, bladder tumors o - Correct Answer-Cortical, subcortical, and suprasacral lesions o - Correct Answer-CVA, dementia, multiple sclerosis, Parkinson's disease o - Correct Answer-Prostate problems; spinal cord transection o - Correct Answer-Medications: diuretics and narcotics Signs/ Symptoms: - Correct Answer- o - Correct Answer-Dysuria, increased frequency/urgency, hematuria, large amounts of urine loss, and unstable detrusor muscle with decreased capacity, or nocturia Assessment: - Correct Answer- o - Correct Answer-Vaginal discharge smear o - Correct Answer-Neurological exam including an assessment of mental status