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NSE211Week 9 Exam Questions And Complete Answers
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NSE211Week 9 Exam Questions AndComplete Answers
Urinary retention - Answer An accumulation of urine due to the inability of the bladder to
empty
Urinary tract infections - Answer Commonly result from catheterization; may have other
causes
Urinary incontinence - Answer Involuntary leakage of urine
Urinary diversions - Answer Diversion of urine to external source
Transient Incontinence - Answer a temporary type of urinary incontinence caused by an
illness or a specific medical condition that is short-lived and quickly remedied by
appropriate treatment of the condition and a disappearance of symptoms
Urge incontinence - Answer occurs when you have a sudden urge to urinate. In urge
incontinence, the urinary bladder contracts when it shouldn't, causing some urine to
leak through the sphincter muscles holding the bladder closed. Other names for this
condition are: overactive bladder (OAB)
Stress- Stress incontinence - Answer incontinence happens when physical movement or
activity — such as coughing, laughing, sneezing, running or heavy lifting — puts
pressure (stress) on your bladder, causing you to leak urine
Overflow-Overflow incontinence - Answer occurs when you are unable to completely
empty your bladder; this leads to overflow, which leaks out unexpectedly. You may or
may not sense that your bladder is full.
Mixed - Answer typically a combination of stress and urge incontinence, it shares
symptoms of both. You may have mixed incontinence if you experience the following
symptoms: Urine leakage when you sneeze, cough, laugh, do jarring exercise, or lift
something heavy.
Functional- Functional incontinence - Answer is also known as disability associated
urinary incontinence. It occurs when the person's bladder and/or bowel is working
normally but they are unable to access the toilet. This may be due to a physical or a
cognitive condition.
Factors that affect Voiding - Answer Fluid balance-Insufficient intake or too much
output-urine , stool
Medications- Ex Lasix
Disease conditions- Ex Renal failure, uncontrolled DM
, Surgical Procedures- prostate , difficult vaginal delivery
Psychological Factors- anxiety
Growth & Development
Psychosocial & Cultural
Tract - Answer ¢ commonly results in catheterization
¢ may have other causes
Diversions - Answer ¢ diversion of urine to external source
¢ Catheterization - Answer introducing a narrow tube through the urethra and into the
bladder to allow in persons with spinal cord injury or spinal bifida
Intermittent - Answer used for 5-10 mins
only to drain the bladder temporarily
sterile procedure
can be used to collect sterile urine specimen ONLY for pts unable to provide a
midstream specimen assess residual or remaining urine after urination
usually used for incomplete bladder emptying due to neurogenic conditions (eg. spinal
cord injury)
single-use straight catheter
single lumen with a small opening of about 1.3cm from the tip
nurses or patients can perform this in the community, patients perform this themselves
using the CLEAN technique and reuse their catheter multiple times safe for those
self-managing bladder emptying in the home
continuous, long term use
has small balloon
need individualized routine
"two lumen" - Answer most common
one lumen drains urine, the other carries STERILE water to inflate or deflate the balloon
"three lumen" - Answer one lumen drains urine, the second lumen carries STERILE
water to inflate or deflate the balloon, third allows for irrigation for continuous bladder
irrigation
¢ Factors influencing the Urinary System or elimination - Answer Urinary tract infection
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