What is enuresis? - ANS Involuntary urination in children beyond the age when normal bladder control is established
What is secondary enuresis? - ANS 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 ma...
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QUESTIONS WITH CORRECT
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ANSWERS ALL VERIFIED BY
AN EXPERT A+ GRADED
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(LATEST UPDATE)
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,What is enuresis? - ANS Involuntary urination in children beyond the age when normal bladder
control is established
What is secondary enuresis? - ANS 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) - ANS 1. Constipation
2. Stress
3. Illness
4. Poor daytime voiding habits
K
A decrease in kidney function puts the patient at risk for what? - ANS Toxicity from medication
if excretion rates are longer
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The most noticeable changes with age are related to what? - ANS Bladder (urgency &
frequency)
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What causes changes in urinary urgency & frequency in men? - ANS Enlarged prostate gland
What causes changes in urinary urgency & frequency in women? - ANS Weakened muscles
supporting the bladder and of the urethral sphincter after menopause (results from decreased
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estrogen levels)
What interventions could be done to help the patient have more consistent urination? (5) - ANS
1. Medications
2. Surgery
3. Behavioral training
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4. Safe/easy access to bathroom
5. Habit training (scheduled time)
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Urinary habits depend on what? (3) - ANS 1. Social cultural
2. Personal habits
3. Physical abilities
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Which factors affect urination? (7) - ANS 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) - ANS 1. Kidneys
2. Ureters
, 3. Bladder
4. Urethra
5. Pelvic floor
How do medications affect urination? - ANS 1. Meds affecting ANS cause retention
2. Diuretics increase urine formation by preventing reabsorption of water & electrolytes
How does muscle tone affect urination? - ANS Muscle tone is needed to maintain the stretch &
contractility of the detrusor muscle so the bladder can fill & empty completely
K
What is the difference between stress & urge incontinence? - ANS Stress: loss of urine control
during activities that increase intra-abdominal pressure (coughing, sneezing, laughing, or
exercise)
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Urge: a sudden strong urge to void, followed by a rapid bladder contraction
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What is overflow incontinence? - ANS Inability to empty bladder completely, resulting in a
constant dribbling of urine or frequency in urination
How does alcohol increase urination? - ANS Inhibits the production of ADH
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What is the average daily fluid output for an adult? (mL) - ANS 1,400-1,500 mL
What is the average daily fluid intake for an adult? (mL) - ANS 1,200-1,500 mL
How much fluid are adults SUPPOSED to intake? (mL) - ANS 2,500 mL
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What is insensible fluid loss? - ANS 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
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What is obligatory water loss? - ANS Fluid loss that is required to maintain normal body
function; necessary for temp regulation and elimination of waste products
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How much fluid is lost through obligatory losses daily? (mL) - ANS 1,300 mL
How often do infants urinate a day? - ANS Around 20 times
How often does a school-aged child urinate? - ANS 6-8 times a day
How does ADH increase water reabsorption into the blood? (5) - ANS 1. Blood osmolality
increases
2. Osmoreceptors in hypothalamus stimulate posterior pituitary to secrete ADH
3. ADH increases distal tubule permeability
4. Increase of water reabsorption of H2O
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