Exam (elaborations)
WOCN – Continence: Questions & Accurate Solutions
WOCN – Continence: Questions & Accurate Solutions
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WOCN – Continence: Questions & Accurate SolutionsDecision maker, in control Right Ans - cerebral cortex
Any disruption in the cerebrocortical function can cause or contribute to....
Right Ans - incontinence
common cause of cerebrocortical dysfunction causing incontinence Right
Ans - CVA
common cause of cerebrocortical dysfunction contributing to incontinence
secondary to loss of processing skills Right Ans - Dementia
the assistant- sends the messages to stimulate or inhibit voicing centers at the
direction of the cortex Right Ans - Midbrain
active during bladder filling, maintains contraction of the external sphincter
via direct stimulation of Onuf's nucleus (nerve cells in the sacral cord), and
storage promoted by the activation of the sympathetic nervous system (SNS)
Right Ans - Pons Storage Center
Active during bladder emptying, provides coordinated voiding, and sends
messages to inhibit the sympathetic nervous system (SNS) and active the
parasympathetic nervous system (PNS) Right Ans - Pons Micturition center
(Barrington's nucleus-)
controlled by the cortex Right Ans - Pons centers
carries messages back and forth between the bladder and the sphincter
Right Ans - Spinal Cord
causes the bladder neck to tighten and contributes to bladder relaxation
Right Ans - sympathetic nervous system (SNS)
epinephrine and Norepinephrine Right Ans - Neurotransmitters for the
SNS
stimulation of the SNS Right Ans - urine storage and promote continence
, sympathomimetic drugs that have an unlabeled use to decrease urinary
leakage in some patients Right Ans - sudafed, NSSRI's (cymbalta)
approved medication for urinary incontinence Right Ans - None
greatest risk for urinary tract infection Right Ans - Reflex incontinence
reversible factors that contributes to urinary incontinence Right Ans -
Infection, irritants, chronic constipation, and atrophic urethritis
what you should include in a protocol for management of patients with
indwelling urethral catheters to reduce the risk of complications Right Ans
- using a small catheter with a small balloon
intervention to help reduce urinary odor in patients with urinary incontinence
Right Ans - adequate volume of fluid intake to keep urine dilute
the most appropriate intervention for a patient with urgency, frequency, and
urge incontinence to improve her bladder control Right Ans - Bladder
retraining program to increase bladder capacity
blatter irritants Right Ans - Caffeine and aspartame
the most appropriate plan to gain night time continence in a child with
enuresis that wants to go to camp with other children Right Ans - provide
education on alarm therapy
beneficial for patients with OAB/urge incontinence Right Ans -
Anticholinergics such as oxybutynin (ditropan)
could be used for patients with retention but rarely effective Right Ans -
Cholinergics such as bethanechol (urecholine)
can be used for children with enuresis becasue it reduces nocturnal urine
production Right Ans - DDAVP (synthetic ADH)
sometimes used for patients with stress incontinence because they increase
urethral resistance Right Ans - Sympathomimetics such as
pseudoephedrine
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