RNSG 1430 Exam 3 questions with
complete solutions 2024
1. jNormal jurine joutput jfor jage jgroups j- jANS✓✓-1-2 jdays j= j15 j- j60 jmL/day j(<1-
2.5 jmL/hr) j
2 jmo-1 jyr j= j400 j- j500 jmL/day j(17-21 jmL/hr) j
5-8 jyr j= j700 j- j1000 jmL/day j(29-42 jmL/hr) j
8-14 jyr j= j800 j- j1400 jmL/day j(33-58 jmL/hr) j
14 jyr-adulthood j= j1500 jmL/day j(63 jmL/hr) j
Older jadulthood j= j1500 jor jless jml/day j(<63 jmL/hr)
2. jBladder jirritants j- jANS✓✓-Carbonated jdrinks, jcoffee, jtea, jcaffeine, jalcohol,
jspicy jfood, jtomato-based jproducts, jspicy jfoods, jyogurt, jaged jcheese, jsour
jcream, jvinegar, jfruit jjuices jlike jcranberry/orange/prune jjuice
3. jAssessing jvoiding j- jANS✓✓-pattern
observation jthrough:
odor j
soiled jsheets
4. jRisk jFactors jfor jAltered jUrinary jElimination j(such jas jBPH) j- jANS✓✓-Aging,
jarteriosclerosis, jflu, jsurgery/anesthesia, jBPH/obstruction, jfluid jintake, jbladder
jirritants, jmeds
5. jPhysiologic jchanges jthat jmay jcause jnocturia j- jANS✓✓-Age, jbenign jprostatic
jhyperplasia, joveractive jbladder, jmenopause, jbladder jcancer, jmultiple jsclerosis,
jdiabetes
6. jAltered jurinary jelimination: jCauses jof j& jtypes jof jalterations jin jpregnancy j&
jpostpartum j- jANS✓✓-Enlarging juterus jpresses jagainst jbladder jincreasing
jurinary jfrequency, jGFR jrises jby jas jmuch jas j50% jbeginning jin j2nd jtrimester; jto
jcompensate jrenal jtubular jreabsorption jincreases, jGlycosuria jcaused jby
jkidneys jinability jto jreabsorb jall jglucose jfiltered jby jglomeruli.
Postpartum jrisk jfor jover jdistention, jincomplete jbladder jemptying, jresidual
jurine, jUTI jrisk, jurinary joutput jincreases jin jearly jpostpartum jperiod
, 7. jRisk jfactors jfor jBPH j- jANS✓✓-Western jmen jmore jlikely jto jdevelop jdue jto
jdiet, jobesity jincreases jrisk, jincreased jsaturated jfat jin jdiet, jfamily jhistory,
jenvironment
8. jBPH: jExpected joutcomes jafter jminimally jinvasive jprocedures j- jANS✓✓-
Transurethral jmicrowave jthermotherapy j- jmicrowaves jto jheat jand jdestroy
jexcess jprostate jtissue jTransurethral jneedle jablation j(TUNA) j- jLow jlevel jradio
jfrequency jthrough jtwin jneedles jto jburn jaway ja jregion jof jthe jenlarged jprostate
9. jBPH: jPriority jnursing jassessment jwhen jadministering jalpha-adrenergic
jblockers j- jANS✓✓-These jdrugs jblock jalpha-receptors jin jvascular jsmooth
jmuscle. jThey jdecrease jvasomotor jtone jand jvasoconstriction, jcan jresult jin jlow
jBP jMonitor jpatient jfor jorthostatic jhypotension, jtachycardia, jand jpalpitations.
jEncourage jpatient jto jchange jpositions jslowly. jGive jfirst jdose jat jbedtime jto
jminimize j"first-dose" jsyncope
10. jurinary jincontinence: jindependent jinterventions j- jANS✓✓-Bladder jtraining,
jstrengthen jpelvic jfloor jmuscles j(Kegels), jscheduled jtoileting jtrips, jfluid jand
jdiet jmanagement, jdouble jvoiding j(urinating, jwaiting ja jfew jminutes, jtrying
jagain)
11. jUrinary jincontinence: jRisk jfactors; jIs jit ja j"normal" jpart jof jaging? j- jANS✓✓-
Aging, jfamilial jhistory, jdevelopmental/cognitive jdisability, jobesity, jpregnancy,
jfrequent jUTI, jsmoking, jdiabetes, jdepression, jinactivity, jmeds
12. jUrinary jIncontinence: jEtiology j- jANS✓✓-Acute j(self-limiting) jor jchronic
•
Congenital jor jacquired
•
Reversible jor jirreversible
•
Acute, jreversible jassociated jwith jpartial jor
complete jresolution
•
Chronic, jirreversible jassociated jwith
congenital jdisorders, jnervous jsystem
disorders............................ jReversible jfactors
Polyuria
Exposure jto jirritants
Urinary jretention
Stool jimpaction jor jconstipation