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Urge incontinence - ANSWER>Involuntary loss of urine associated with a strong urge to void that cannot be
suppressed
The patient is aware of the need to void but is unable to reach a toilet in time.
This can occur in a patient with NEUROLOGICAL DYSFUNCTION.
Functional incontinence - ANSWER>Refers to those instances in which lower urinary tract function is intact but
other factors, such as
Severe cognitive impairment (e.g., Alzheimer dementia), make it difficult for the patient to identify the need to void
Physical impairments make it difficult or impossible for the patient to reach the toilet in time for voiding
, Iatrogenic incontinence - ANSWER>Involuntary loss of urine due to extrinsic medical factors, predominantly
medications.
Use of alpha-adrenergic agents to decrease blood pressure. (clonidine)
What assessment can alert the nurse that kidney involvement or impending sepsis may be happening? -
ANSWER>Vital signs and LOC
Pyelonephritis s/s - ANSWER>Chills, Fever, Leukocytosis, Bacteriuria, Pyuria, Low back pain
FLANK PAIN
N/V, headache, malaise, painful urination
Pyelonephritis DX - ANSWER>IV pyelogram
Ultrasound
CT scan
Nephrotoxic medications considerations - ANSWER>Should discontinue these meds before contrast media
administration