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NSG 3100 - Exam #3 questions well answered already passed
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NSG 3100 - Exam #3 questions wellanswered already passed
What is enuresis? - correct answer ✔✔Involuntary urination in children beyond the age when normal
bladder control is established
What is secondary enuresis? - correct answer ✔✔Child who has established proper bladder control for a
period of 6 months, but who has since lapsed back to wetting the bed
What factors may cause secondary enuresis? (4) - correct answer ✔✔1. Constipation
2. Stress
3. Illness
4. Poor daytime voiding habits
A decrease in kidney function puts the patient at risk for what? - correct answer ✔✔Toxicity from
medication if excretion rates are longer
The most noticeable changes with age are related to what? - correct answer ✔✔Bladder (urgency &
frequency)
What causes changes in urinary urgency & frequency in men? - correct answer ✔✔Enlarged prostate
gland
What causes changes in urinary urgency & frequency in women? - correct answer ✔✔Weakened
muscles supporting the bladder and of the urethral sphincter after menopause (results from decreased
estrogen levels)
What interventions could be done to help the patient have more consistent urination? (5) - correct
answer ✔✔1. Medications
2. Surgery
,3. Behavioral training
4. Safe/easy access to bathroom
5. Habit training (scheduled time)
Urinary habits depend on what? (3) - correct answer ✔✔1. Social cultural
2. Personal habits
3. Physical abilities
Which factors affect urination? (7) - correct answer ✔✔1. Developmental
2. Psychosocial
3. Fluid & food intake
4. Medications
5. Muscle tone
6. Pathologic conditions
7. Surgical & diagnostic procedures
Urinary elimination is affected by what? (5) - correct answer ✔✔1. Kidneys
2. Ureters
3. Bladder
4. Urethra
5. Pelvic floor
How do medications affect urination? - correct answer ✔✔1. Meds affecting ANS cause retention
2. Diuretics increase urine formation by preventing reabsorption of water & electrolytes
How does muscle tone affect urination? - correct answer ✔✔Muscle tone is needed to maintain the
stretch & contractility of the detrusor muscle so the bladder can fill & empty completely
, What is the difference between stress & urge incontinence? - correct answer ✔✔Stress: loss of urine
control during activities that increase intra-abdominal pressure (coughing, sneezing, laughing, or
exercise)
Urge: a sudden strong urge to void, followed by a rapid bladder contraction
What is overflow incontinence? - correct answer ✔✔Inability to empty bladder completely, resulting in a
constant dribbling of urine or frequency in urination
How does alcohol increase urination? - correct answer ✔✔Inhibits the production of ADH
What is the average daily fluid output for an adult? (mL) - correct answer ✔✔1,400-1,500 mL
What is the average daily fluid intake for an adult? (mL) - correct answer ✔✔1,200-1,500 mL
How much fluid are adults SUPPOSED to intake? (mL) - correct answer ✔✔2,500 mL
What is insensible fluid loss? - correct answer ✔✔The amount of fluid lost on a daily basis from the
lungs, skin, respiratory tract, and water excreted in the feces; the exact amount cannot be measured
What is obligatory water loss? - correct answer ✔✔Fluid loss that is required to maintain normal body
function; necessary for temp regulation and elimination of waste products
How much fluid is lost through obligatory losses daily? (mL) - correct answer ✔✔1,300 mL
How often do infants urinate a day? - correct answer ✔✔Around 20 times
How often does a school-aged child urinate? - correct answer ✔✔6-8 times a day
How does ADH increase water reabsorption into the blood? (5) - correct answer ✔✔1. Blood osmolality
increases
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