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NURS 1067 Week 11 Final Exam questions and verified answers graded A+ 2024
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NURS 1067 Week 11 Final Exam questions and verified answers graded A+ 2024
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NURS 1067 Week 11 Final Exam questions and verified answers gradedA+ 2024
impaired urinary elimination - answer > a general diagnosis; diagnosis allow
nurses to support clients until a more specific nursing diagnosis or medical
diagnosis can be made, stress incontinence, urge incontinence.
urinary incontinence - answer > uncontrolled loss of urine that is of sufficient
magnitude to be a problem; can affect anyone across the lifespan, however higher
prevalence among older adults; among younger adults, affects more women than
men; affects the quality of life and may have serious health consequences; UI is a
symptom due to various causes.
urinary retention - answer > inability to empty the bladder despite micturition or
the accumulation of urine in the bladder because of an inability to urinate.
acute(Medical Management - Retention) - answer > Immediate indwelling or
intermittent catheterization required ;Indwelling:
Catheter remains in bladder for long periods of time;Option if there is an
obstruction or if client unwilling or unable to do intermittent catheterizations
pharmaceutical options(medical management-retention) - answer > ⍺-adrenergic
antagonists: Reduce urethral sphincter resistance to urinary outflow
Ex. Doxasozin for patients with enlarged prostate
5 ⍺-reducatse inhibitors: Reduces size of prostate
Ex. Finasteride
chronic (urinary retention) - answer > -Chronic: incomplete bladder emptying
despite urination
acute (urinary retention) - answer > -Acute: total inability to pass urine
, Medical emergency
(causes) Urinary Retention - answer > Deficient detrusor muscle strength, Detrusor
muscle does not contract with enough force to empty bladder, Neurological
diseases, over distension of bladder, alcoholism, medications(anticholinergics)
(causes) Urinary Retention - answer > Bladder outlet obstruction, Bladder cant
empty due to an obstruction
(causes) urinary retention - answer > Additional causes,Surgical or childbirth
trauma, fecal impaction
Urinary Retention - Clinical Manifestations - answer > Feelings of:pressure,
discomfort, tenderness of suprapubic area, restlessness;Diaphoresis;
Overflow incontinence
Voiding small amounts frequently, no relief or comfort post void;
Post-residual void > 150ml
Health History - answer > Past medical health history (related comorbidities);
Infectious status, diabetes, cognitive impairment, Parkinsonism, arthritis, back
problems, sensory impairment, visual & hearing impairments
Health History - answer > Lifestyle factors (smoking, obesity);Medications
diuretics, morphine, sedatives;Environment, cognitive, functional status
Physical Assessment - answer > Signs and symptoms of dehydration;Inspect
perineal area;Assess skin integrity, rash, discharge?
;Kidneys and bladder
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