NUR 600 - Final Exam
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• Renal Colic (+ CVA Tenderness), intense flank pain
Signs and symptoms of renal • Severe pain (+/- Nausea and Vomiting)
calculi • Hematuria, cloudy urine, painful urination
• Urinary retention
incontinence inability to control bladder and/or bowels
1. Stress
Loss of small amounts of urine from increased abdominal
pressure without bladder muscle contraction with laughing,
sneezing, or lifting.
2. Urge
Inability to stop urine flow long enough to reach the bathroom
due to an overactive detrusor muscle with increased bladder
pressure,
3. Overflow
Urinary retention from bladder over-distention and frequent loss
of small amounts of urine due to obstruction of the urinary outlet
or an impaired detrusor muscle.
Types of incontinence
4. Reflex
Involuntary loss of a moderate amount of urine usually without
warning due to hyperrflexia, of the detrusor muscle, usually from
spinal cord dysfunction.
5. Functional
Loss of urine due to factors that interfere with responding to the
need to urinate such as cognitive, mobility, and environmental
barriers.
6. Total
Unpredictable, involuntary loss of urine that generally does not
respond to treatment,
, Urinalysis, Bladder Diary, Post void residual measurement,
Tests to diagnose incontinence
cystoscopy, Ultrasound
-bladder training
-scheduled toileting
-fluid/diet management
Treatment for incontinence
-pelvic muscle exercises (stress and urge)
-pharmacological interventions
-surgery
Urinate only every 3 to 6 hours to "re-train" your bladder.
Know that consumption of diuretics, antidepressants,
antihistamines, and cough-cold preparations exacerbates urinary
Patient education for
incontinence.
incontinence
Eat fruits, vegetables, and whole grains daily to prevent
constipation.
Stop smoking (nicotine irritates the bladder).
Limit the amount of salt (sodium) in your diet. Eat a balanced diet
that is not too high in protein. Limit foods that are high in a
Patient education for urolethiasis substance called oxalate, which can cause kidney stones. These
foods include dark green vegetables, rhubarb, chocolate, wheat
bran, nuts, cranberries, and beans.
TURP (transurethral resection of the prostate)
terazosin (Hytrin), doxazosin (Cardura), tamsulosin (Flomax),
Treatment for BPH
alfuzosin (Uroxatral), and silodosin (Rapaflo).
Prostatic Urethral Lift or Water Vapor Therapy
being able to get an erection sometimes, but not every time you
want to have sex.
Symptoms of erectile
being able to get an erection, but not having it last long enough
dysfunction
for sex.
being unable to get an erection at any time.
Treatment of erectile Sildenafil, prostoglandins, intraurethral prostoglandins, vacuum-
dysfunction assisted devices, implants