ExamI3:INURSI620/INURS620I(LatestI2024
/I2025IUpdate)IAdult/GerontologyIHealth
ICareIIIGuideI|IQsI&IAs|I100%ICorrect|I
GradeIAI(VerifiedIAnswers)-IMaryville
I
Q:Iphylonephritis**
Answer:
ClinicalIpresentation:Ichills,Ifever,IflankIpain,ICVAItenderness,IurinaryIsymptomsImayIaccomp
any
•UrineIcultureIrequired***
•HospitalizationIorIcloseImonitoring-
IifIsymptomsIpersistIafterI48IhoursIofIabxItreatmentItimeItoIhospitalize
•TreatIforI7I-14IdaysIwithISeptraIDSIorICiproI(?)
•Follow-upIurineIculture
Q:IWhoIisIatIgreaterIriskIforIpyelonephritis
Answer:
ThoseIwithIGUIabnormalities,IgeriatricIandIpregnantIpatients
Q:IHematuria
Answer:
•Pathogenesis:Iprerenal,Irenal,IpostIrenal,Ifalse,Ibenign
•ClinicalIpresentation
-ColorIofItheIurine
,-ConcurrentIsymptoms?
•History
-MedicationsI&IdietaryIhistory-IareItheyItakingIaspirinIorIlotsIofINSAIDS
-MenstrualIhistory
•DifferentialIdiagnosis
-UTII/Ipyelonephritis
-Cancers
-BPH
Q:IHematuriaIExamIandItesting
Answer:
•PhysicalIexam
-AbdominalIexamI-Itenderness,Imasses,ICVAItenderness,IpelvicI/IprostateIexam
•DiagnosticItests
-Urinalysis,IC&S
-ANAI(rhumatoidIprocess),ICMP,ICBC,
-IVP,Icystoscopy-IneedIforIrecurrentI(referIforIurology)
Q:ImanagementI-Ihematuria
Answer:
-AntibioticItherapyIifIbacterialIinfectionIfound
-ReferIforIfurtherIevaluationI-IurologyIorInephrology
Q:IUrinaryIIncontinence
Answer:
•InvoluntaryIlossIofIurineIsufficientItoIbeIaIsocialIorIhygienicIproblem
•AffectsI20ImillionIpeopleIinItheIUS
,•CostsImoreIthanI$16IbillionIperIyear
•LeadsItoIsocialIisolation,Idepression,IskinIproblems,IUTIs,IandIfalls
•SignificantlyIunderreported
Q:IHPIIforIurinaryIincontinence
Answer:
•HaveIyouIhadIanyIaccidents?
•DoIyouIcheckIoutItheIlocationIofItheIbathroomIwhereverIyouIgo?
•HowIoftenIdoIyouIexperienceIleakageIofIurine?
•HowImuchIdoIyouIloseIeachItime?
Q:IRiskIFactorsIforIIncontinence:IDIAPPERS
Answer:
•DeliriumIandIdementia
•Infections
•AtrophicIvaginitis
•Psychological:Idepression
•Pharmacological:Idiuretics,Inicotine,Icaffeine
•Endocrine:IDM,Ihypercalcemia,Ihyperthyroid
•RestrictedImobility
•StoolIinIrectalIvault
Q:ITypesIofIincontinence
"OUTS"
Answer:
OverflowIincontinenceI(lossIwhenIspecificIvolumeIreached)
UrgeIincontinenceI(lossIfromIcontractionIthatIfollowsIstrong,IsuddenIneed)
, TotalIincontinenceI(completeIlossIofIurinaryIcontrol,IasIfromIaInonfunctioningIurethralIsphinct
erImuscle)
StressIincontinenceI(lossIofIsmallIamountsIofIurineIwhenIabdominalIpressureIincreasesIthroug
hIcough,Isneeze,Ilaugh)
Q:IAssessmentIofIbladderIandIincontinence
Answer:
•Urge,Istress,Imixed,IorIoverflow
•CompleteIHI&IPIwithIpelvicIexam
•VoidingIdiary
•DiagnosticItests:IUA,IC+S,
•Post-voidIresidual
•Urodynamics:IQ-tipItestIandIcystomyetrogramI(CMG)
Q:IStressIincontinence
Answer:
•IncreaseIinIabdominalIpressureIresultsIinIlossIofIurine
•UrethralIsphincterImuscleIisIweak
•WeaknessIinIpelvicIfloorImuscles
•BroughtIonIbyIcoughing,Isneezing,Istraining
overweightIpatients,IabdominalIsurgeryIpatients,IherniaIpatients,IwomenIwhoIhaveIhadIbabies.
Q:IManagementIofIstressIincontinence
Answer:
•Kegels:I40ItoI60IcontractionsIdaily
•PelvicIfloorImuscleItrainingI(PFMT)
•VaginalIconesIorIpessaries
•LoseIweight
