NUR 257- Exam 2 Enrichment Questions With Complete
Solutions
What should you do if a patient experiences a sudden onset of
urinary incontinence?
Assess for a cause because this is NOT normal
Stress Incontinence
Loss of small amount of urine with activities that increase intra-
abdominal pressure (coughing, sneezing, exercising, lifting,
bending)
Urge Incontinence
Loss of moderate to large amount of urine before getting to
toilet, inability to suppress need to urinate (frequency and
nocturia may be present)
Functional Incontinence
Lower urinary tract intact but individual unable to reach toilet
because of environmental barriers; physical limitations;
cognitive impairment; lack of assistance; difficulty managing
belts and zippers or getting a dress up and undergarments down;
or difficulty sitting on the toilet (may occurs w/other types of
UI; more common in cognitively impaired or institutionalized
pt's)
Xerostomia
Dry mouth
, As a nurse, what can you do for a patient who has xerostomia?
Oral Care
Does xerostomia affect the patients malnutrition status
sometimes?
Yes
What can you encourage a patient with xerostomia to do if they
have sores in their mouth?
Continue drinking/hydrating
If a patient was to say to you "I drank a cup of tea, soda, water,
but only when I feel thirsty." Do you think they'd be at a high
risk for dehydration?
Yes; continue to educate the patient
What symptoms would you look for in a patient who is taking
Haldol?
NMS- high fever, need to go to ER!
If you have 6 patient's one is complaining of abdominal pain,
can't void, some leakage around stool. Is this patient a priority?
Yes- this patient could decline quickly!
Key S/S of Fecal Impaction
Urinary retention, abdominal pain, leakage of stool
What medication can cause dry mouth, sexual dysfunction, or
dizziness?
SSRI's- educate patients on potential SE's
Solutions
What should you do if a patient experiences a sudden onset of
urinary incontinence?
Assess for a cause because this is NOT normal
Stress Incontinence
Loss of small amount of urine with activities that increase intra-
abdominal pressure (coughing, sneezing, exercising, lifting,
bending)
Urge Incontinence
Loss of moderate to large amount of urine before getting to
toilet, inability to suppress need to urinate (frequency and
nocturia may be present)
Functional Incontinence
Lower urinary tract intact but individual unable to reach toilet
because of environmental barriers; physical limitations;
cognitive impairment; lack of assistance; difficulty managing
belts and zippers or getting a dress up and undergarments down;
or difficulty sitting on the toilet (may occurs w/other types of
UI; more common in cognitively impaired or institutionalized
pt's)
Xerostomia
Dry mouth
, As a nurse, what can you do for a patient who has xerostomia?
Oral Care
Does xerostomia affect the patients malnutrition status
sometimes?
Yes
What can you encourage a patient with xerostomia to do if they
have sores in their mouth?
Continue drinking/hydrating
If a patient was to say to you "I drank a cup of tea, soda, water,
but only when I feel thirsty." Do you think they'd be at a high
risk for dehydration?
Yes; continue to educate the patient
What symptoms would you look for in a patient who is taking
Haldol?
NMS- high fever, need to go to ER!
If you have 6 patient's one is complaining of abdominal pain,
can't void, some leakage around stool. Is this patient a priority?
Yes- this patient could decline quickly!
Key S/S of Fecal Impaction
Urinary retention, abdominal pain, leakage of stool
What medication can cause dry mouth, sexual dysfunction, or
dizziness?
SSRI's- educate patients on potential SE's
