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WOCN Continence Final Exam – Qs & As - Complete Study Guide
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WOCN Continence Final Exam – Qs & As - CompleteStudy Guide
Physical exam of a patient with diarrhea reveals a perineal rash with
erythematous papules surrounding a central confluent area. Which of the
following is the first intervention to consider? Right Ans - Nystatin
ointment.
Which of the following requires immediate referral for further workup?
Right Ans - New onset of painless hematuria.
Which of the following is an age-related change in the lower urinary system
that should be taken into consideration when assessing the elderly person for
continence concerns? Right Ans - Reduced bladder contractility.
A person who has suffered a stroke is at risk for urinary incontinence due to
which of the following neuro changes? Right Ans - Development of
neurogenic detrusor overactivity.
Patient taking opioid meds are at a higher risk for which of the following
conditions? Right Ans - Urinary retention.
During an anorectal exam, the examiner elicits the "anal wink." No response to
this test may be indicative of which of the following? Right Ans -
Neurological problems.
The recommendations for CAUTI prevention in short-term use (2wks or less)
of urinary catheters includes: Right Ans - Use of silver alloy catheters.
The WOC nurse is explaining treatment options to a female patient diagnosed
with mixed UI. Which statement by the nurse accurately describes current
therapy? Right Ans - Initial treatment is directed at improving sphincter
function and reducing bladder overactivity.
The first step in managing large volume liquid stool is which of the following?
Right Ans - External fecal collection pouch.
, A 28 year old patient with in non-parous complains of urinary frequency. She
consumes 5 qts of water a day and is not physically active. She denies any
history of cystitis. Which of the following is the most likely cause of this
patient's urinary frequency? Right Ans - Volume of fluid intake.
A male patient is 2 month's post-radical prostatectomy and is experiencing
small volume stress UI. Which of the following is the best way to manage this
problem? Right Ans - Absorptive shield.
Which of the following describes an age-related change in the lower urinary
tract that causes the need for more frequent urination? Right Ans -
Reduced bladder capacity.
What is a teaching principle for managing urinary retention due to an
enlarged prostate? Right Ans - Clean intermittent cath 4x daily while
awake.
A 60 year old male patient presents with frequent, low volume urine, and feels
the need to strain to void. Which of the following would be the best screening
tool to assess these symptoms? Right Ans - Uroflowmetry.
Which of the following objectively monitors the course of treatment progress
for fecal incontinence? Right Ans - Bowel diary.
During the process of normal defecation, which action occurs following
sensory awareness of the need to defecate? Right Ans - Relaxation of the
internal anal sphincter and contraction of the external anal sphincter.
A patient with Parkinson's diseases lives in a nursing home. She has 2 or
fewer BMs per week and is incontinent of liquid stool. Which of the following
should be done initially to correct this problem? Right Ans - Assess for fecal
impaction.
The primary treatment goal when using a bed alarm system to manage
childhood enuresis is to: Right Ans - Wake the child to the sensation of a
full bladder.
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