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NURS 1871: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

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NURS 1871: EXAM 2 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED What are some cues that the nurse may notice when assessing a patients urinary pattern (the patient is suffering elimination issues, what could the nurse assess visually) Urine COPA Is abnormal The meatus is not slit like or free of drainage The female perineum is not free of drainage or inflammation Erythema, edema, and signs of scratching, or drainage are present What are potential cues that help The nurse assess a patient's elimination patterns as it relates to skin integrity Skin maceration is common in incontinent patients The skin erodes, i.e. erythemic, burning, swollen, painful, itchy Urine is created by _______ The kidneys What are the three urinary alterations We focus on at CSCC? Urinary incontinence (stress vs urgent) Urinary tract infection (lower vs upper) Urinary retention (acute vs chronic) What are the signs and symptoms an individual is suffering with stress related urinary incontinence (Women) common after childbirth Leaking when coughing, sneezing or laughing (Women) Weekend pelvic floor Nocturia is NOT present What are signs and symptoms of a lower UTI Located in bladder/urethra Dysuria Cloudy or foul smelling urine Increased urgency, frequency, and accidents Suprapubic tenderness What are the signs and symptoms of an upper UTI? Stems from the kidneys Flank pain Fever and chills Flu like symptoms Hematuria Pyuria Dysuria Increased urgency, frequency in accidents Suprapubic tenderness What are the causes for UTIs? Poor hygiene Indwelling catheter

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NURS 1871: EXAM 2 QUESTIONS AND ANSWERS WITH

COMPLETE SOLUTIONS VERIFIED


What are some cues that the nurse may notice when assessing a patients urinary

pattern



(the patient is suffering elimination issues, what could the nurse assess visually)

Urine COPA Is abnormal



The meatus is not slit like or free of drainage



The female perineum is not free of drainage or inflammation



Erythema, edema, and signs of scratching, or drainage are present

What are potential cues that help The nurse assess a patient's elimination

patterns as it relates to skin integrity

Skin maceration is common in incontinent patients



The skin erodes, i.e. erythemic, burning, swollen, painful, itchy

Urine is created by _______

The kidneys

What are the three urinary alterations We focus on at CSCC?

,Urinary incontinence (stress vs urgent)

Urinary tract infection (lower vs upper)

Urinary retention (acute vs chronic)

What are the signs and symptoms an individual is suffering with stress related

urinary incontinence

(Women) common after childbirth



Leaking when coughing, sneezing or laughing



(Women) Weekend pelvic floor



Nocturia is NOT present

What are signs and symptoms of a lower UTI

Located in bladder/urethra



Dysuria



Cloudy or foul smelling urine



Increased urgency, frequency, and accidents



Suprapubic tenderness

What are the signs and symptoms of an upper UTI?

,Stems from the kidneys



Flank pain



Fever and chills



Flu like symptoms



Hematuria



Pyuria



Dysuria



Increased urgency, frequency in accidents



Suprapubic tenderness

What are the causes for UTIs?

Poor hygiene



Indwelling catheter



Sexually active

, Incontinent



Bacteria build up (E. coli)

What are the signs and symptoms of an older adult that has a UTI

In addition to general symptoms, older adults may have:



Altered mental status



Increased frequency of falls



Sub normal temperature



loss of appetite

How are UTIs generally treated

Lower UTIs: topical medication

PO antibiotics



Upper UTIs : PO antibiotics

IV Medication/antibiotics

Hospitalization required

What is urinary retention?

An accumulation of urine due to the inability of the bladder to empty

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