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NR 601 Final Exam – Questions With Step By Step Solutions

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NR 601 Final Exam – Questions With Step By Step Solutions

Institution
NR 601
Course
NR 601

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NR 601 Final Exam – Questions With Step By Step
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Practice questions for this set


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avoid hot drinks, alcohol, caffeine, spicy foods. Increase exercise



Choose an answer



Leading reason for long-term care
1 2 Incontinence behavioral therapies include
placement



3 Hot flashes/nigh sweats 4 Overactive bladder



Don't know?




Terms in this set (73)



Leading reason for long-term care incontinence
placement


incontinence increases skin breakdown and falls


Higher incontinence rate when younger women
than 85


Incontinence rate for men and women 85+ similar


Overactive bladder Urgency, frequency, and nocturia


Incontinence risk factors assistance ambulating, female, walker, obesity, diabetes,
depression, hysterectomy, neuro impairment, cognitive
impairment, dementia, and fecal incontinence

, Stress incontinence leakage with exertion like coughing sneezing laughing


Diagnostic tests for urinary incontinence Pelvic: r/o mass, mobile urethra, cystocele, rectocle.
Urinalysis: r/o UTI/hematuria
Empty supine stress test: void then observe urethra in
lithotomy while bearing down


Diagnostic test for overflow incontinence PVR


Positive supine empty stress test intrinsic urethral sphincter dysfunction. Tx includes kegel
exercises and antimuscarinic med


First line med stress incontinence antimuscarinic med: oxybutynin


Behavioral therapies for what type of urgency and stress
incontinence


Incontinence behavioral therapies include bladder training frequent voiding every 2 hours and pelvic
exercises


UTI in older adults most common bacterial infection in adults over 65 and most
common cause of sepsis


Older adults community UTI dysuria, urgency, hematuria
postmenopausal: incontinence, nocturia, low back pain,
constipation
Older adults: cognition and confusion


Older adult UTI: community treatment not based on symptoms can be another disease so
do a dipstick if + nitrates and + leukocytes treat


Older adult UTI: long term care frequency, nocturia, incontinence and changes in mental state
is very common


McGeer Criteria Acute dysuria or fever (37.9) >100 with urgency, frequency,
suprapubic pain, gross hematuria, cva tenderness,
incontinence


Loeb Criteria fever > (38) 100, new dysuria, frequency, urgency, pain,
character of urine change, mental status change (need 3)


UTI first line treatment Nitrofurantoin 100mg BID x 5 days and
Trimethoprim/sulfamethoxazole 800/160mg PO BID x 7 days


Benign prostatic hyperplasia smooth muscle hyperplasia, prostate enlargement, bladder
dysfunction r/t CNS


BPH: leads to what type of symptoms lower urinary tract symptoms r/t urethra narrowing and
obstructing flow from bladder


BPH most common risk factor age


Prostate risk factors older age, black males, asymptomatic then urinary sx


International prostate symptom score LUTS: 7 or less mild, 8-19 moderate, and 20-35 severe


Frequency of PSA screening PSA every 2 years

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