WOCN Continence Final Study Guide with Complete Solutions

WOCN Continence Final Study Guide
ii ii ii ii




with Complete Solutions
ii ii
ii
ii ii


ii

Physical iiexam iiof iia iipatient iiwith iidiarrhea iireveals iia iiperineal iirash iiwith
iierythematous ii
ii
papules iisurrounding iia iicentral iiconfluent iiarea. iiWhich iiof iithe iifollowing iiis iithe
iifirst
ii
intervention iito iiconsider? ii- iiCORRECT iiANSWER-Nystatin
iiointment.
ii

Which iiof iithe iifollowing iirequires iiimmediate iireferral iifor iifurther iiworkup? ii-
iiCORRECT ii
ii
ANSWER-New iionset iiof iipainless

iihematuria.
ii

Which iiof iithe iifollowing iiis iian iiage-related iichange iiin iithe iilower iiurinary iisystem iithat
iishould ii
ii
be iitaken iiinto iiconsideration iiwhen iiassessing iithe iielderly iiperson iifor
iicontinence
ii
concerns? ii- iiCORRECT iiANSWER-Reduced iibladder
iicontractility.
ii

A iiperson iiwho iihas iisuffered iia iistroke iiis iiat iirisk iifor iiurinary iiincontinence iidue iito
iiwhich iiof ii
ii
the iifollowing iineuro iichanges? ii- iiCORRECT iiANSWER-Development iiof
iineurogenic
ii
detrusor
iioveractivity.
ii

Patient iitaking iiopioid iimeds iiare iiat iia iihigher iirisk iifor iiwhich iiof iithe iifollowing
iiconditions? ii-
ii
CORRECT iiANSWER-Urinary

iiretention.
ii

During iian iianorectal iiexam, iithe iiexaminer iielicits iithe ii"anal iiwink." iiNo iiresponse iito iithis
iitest ii
ii
may iibe iiindicative iiof iiwhich iiof iithe iifollowing? ii- iiCORRECT iiANSWER-
Neurological
ii
problems.
ii

The iirecommendations iifor iiCAUTI iiprevention iiin iishort-term iiuse ii(2wks iior iiless) iiof
iiurinary ii

, ii
catheters iiincludes: ii- iiCORRECT iiANSWER-Use iiof iisilver iialloy
iicatheters.
ii

The iiWOC iinurse iiis iiexplaining iitreatment iioptions iito iia iifemale iipatient iidiagnosed iiwith
iimixed iiUI. iiWhich iistatement iiby iithe iinurse iiaccurately iidescribes iicurrent iitherapy? ii-

iiCORRECT iiANSWER-Initial iitreatment iiis iidirected iiat iiimproving iisphincter iifunction iiand

iireducing iibladder iioveractivity. ii
ii

The iifirst iistep iiin iimanaging iilarge iivolume iiliquid iistool iiis iiwhich iiof iithe
iifollowing? ii-
ii
CORRECT iiANSWER-External iifecal iicollection
iipouch.
ii

A ii28 iiyear iiold iipatient iiwith iiin iinon-parous iicomplains iiof iiurinary iifrequency. iiShe
iiconsumes ii
ii
5 iiqts iiof iiwater iia iiday iiand iiis iinot iiphysically iiactive. iiShe iidenies iiany iihistory iiof ii
iicystitis.


Which iiof iithe iifollowing iiis iithe iimost iilikely iicause iiof iithis iipatient's iiurinary
iifrequency? ii-
ii
CORRECT iiANSWER-Volume iiof iifluid
iiintake.
ii

A iimale iipatient iiis ii2 iimonth's iipost-radical iiprostatectomy iiand iiis iiexperiencing iismall
iivolume iistress iiUI. iiWhich iiof iithe iifollowing iiis iithe iibest iiway iito iimanage iithis iiproblem? ii-

iiCORRECT iiANSWER-Absorptive iishield. ii
ii

Which iiof iithe iifollowing iidescribes iian iiage-related iichange iiin iithe iilower iiurinary iitract
iithat iicauses iithe iineed iifor iimore iifrequent iiurination? ii- iiCORRECT iiANSWER-Reduced

iibladder iicapacity. ii
ii

What iiis iia iiteaching iiprinciple iifor iimanaging iiurinary iiretention iidue iito iian iienlarged
iiprostate? ii
ii
- iiCORRECT iiANSWER-Clean iiintermittent iicath ii4x iidaily iiwhile
iiawake.
ii

A ii60 iiyear iiold iimale iipatient iipresents iiwith iifrequent, iilow iivolume iiurine, iiand iifeels iithe
iineed iito iistrain iito iivoid. iiWhich iiof iithe iifollowing iiwould iibe iithe iibest iiscreening iitool iito

iiassess iithese iisymptoms? ii- iiCORRECT iiANSWER-Uroflowmetry. ii
ii

Which iiof iithe iifollowing iiobjectively iimonitors iithe iicourse iiof iitreatment iiprogress iifor
iifecal ii
ii
incontinence? ii- iiCORRECT iiANSWER-Bowel
iidiary.
ii