HCC Exam 1 Questions with 100%
Correct Answers 2024/2025
Neurogenic Bladder - ANSWERSA spastic bladder is also called a ______________?
neurogenic, contractions, small, normal, low - ANSWERSFill in the blanks:
A patient with a spastic bladder, also called a __________ bladder, will experience __________ that
initiate the release or urine even when they do not need to empty the bladder. The volume of the urine
is usually _________ to _________, and the pressure in the bladder and when urinating is
____________.
1. multiple sclerosis
2. parkinsons disease
3. neuro disorders
4. Alzheimer's disease
5. CVA
6. Stroke
7. Spina bifida - ANSWERSWhat are some common causes or a neurogenic/spastic bladder-specifically
the ones we talked about in lecture? There are a total of 7, can you remember them? Try to list them
without looking at the answers.
anticholinergics
cholinergic
antidepressants
antispasmodics - ANSWERSWhat are the 4 common medications prescribed to those with a
spastic/neurogenic bladder?
1.
2.
,3.
4.
cholinergic and anticholinergics - ANSWERSAs a nurse, you may see what two medications given
together when someone has neurogenic/spastic bladder?
decrease the urge to void and relax the bladder to allow it to fill up - ANSWERSWhat do anticholinergic
medications do in a patient with a neurogenic/spastic bladder?
anticholinergics - ANSWERSA patient who has. neurogenic/spastic bladder comes into he office for a
checkup. He has recently been diagnosed with glaucoma. What medication should the nurse know that
he should NOT receive, or be taking for his neurogenic bladder due to his recent diagnosis?
-encourage fluid intake
-recommend hard candy for dry mouth - ANSWERSWhat are two things that a nurse can encourage a
patient who is taking anticholinergics for a spastic bladder?
stop bladder spasms - ANSWERSwhat do antispasmotics do when a patient is taking them for a
neurogenic bladder?
tighten the sphincter muscle, (also tightens the detrusor muscle) - ANSWERSWhat does a cholinergic
medication do for a patient with a spastic bladder?
take on an empty stomach - ANSWERSWhat is one important factor for a nurse to teach a patient who is
taking a cholinergic medication for a spastic bladder?
antidepressants - ANSWERSWhich medication can a patient take to relieve them or urinary
incontinence?
get out of bed slowly due to the affects of blood pressure changes - ANSWERSWhat is an important
factor for a nurse to implement or teach a patient who is taking an antidepressant for a neurogenic
bladder?
, decrease spasms - ANSWERSBotox can be injected into the detrusor muscle in order to?
GABA - ANSWERSWhich supplements are helpful with impulse transmissions to the bladder area?
Tegretol/Antileptics - ANSWERSWhich medication decreases impulses to the bladder leading to less
incontinent episodes?
caffeine, alcohol, chocolate, pineapples, peaches, green beans, cucumbers, radishes/beets, and spinach?
- ANSWERSWhich food group should a person with neuronic/spastic bladder avoid?
-apples, pears, red meat, fish, wheat, and rice
-caffeine, alcohol, chocolate, pineapples, peaches, green beans, cucumbers, radishes/beets, and spinach
-processed foods, alcohol, caffeine, asparagus, tomatoes, and raw fruits
bladder training, habit training, exercise training, electrical stimuli - ANSWERSWhat are 4 behavioral
changes can a nurse and patient implement together when a patient has bladder elimination issues?
-AAOx3. Patient voids every 45min, if successful, increase time by 15 mins over a 24 hour period. Goal:
Patient is able to hold urine for 3-4 hours total without incontinent episodes. - ANSWERSBladder training
consist of which aspects listed below? pick just one:
-AAOx3. Patient voids every 45min, if successful, increase time by 15 mins over a 24 hour period. Goal:
Patient is able to hold urine for 3-4 hours total without incontinent episodes.
-For incontinently impaired patients such as Alzheimer patients. Patient goes to the bathroom every 2
hours (or use of bedpan every 2 hours is bed bound). If pt is able to hold for two hours, increase by 30
min. Goal: Patient is able to hold urine for 3-4 hours without incontinent episodes.
-This includes kegel Exercises. For men and women.
