NR 601 FINAL EXAM REVIEW EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)

NR 601 FINAL EXAM REVIEW EXAM QUESTIONS WITH CORRECT VERIFIED ANSWERS | 100% PASS (A+ CERTIFIED)1. Most common type of UI in men and women Men is urgency and women is stress 2. What is urge UI Feeling of needing to go right away. Rush to the bathroom. 3. What is stress UI Sneezing, coughing, laughing, pressure. 4. What is mixed incontinence Both stress and urgency 5. Risk factors for UI Female, obesity, dm, depression, stroke, fecal incontinence, hysterectomy. 6. What is the first line therapy for most older patients with UI Behavioral therapy 7. What does behavioral therapy include for UI Weightloss, stop caffeinated beverages and alcohol, minimize fluid intake at night, stop smoking,loop diuretics should be taken in afternoon. Bladder trainings, kegal exercises, and prompted voiding. 8. Which med can be used for OAB? S/e Myrbetriq; can cause high BP. 9. What medications can be used for urge incontinence and OAB? What are their class Detrol (tolterodine), ditropan (oxybutinin) These are anticholinergics/antimuscarinics 10. Antimuscarinics and anticholinergics should be avoided in which pa- tients?according to BEERS criteria: Patients with dementia or cognitive impairment 11. What is the gold standard treatment for women with stress incontinence - Surgery 12. What is the only evidenced based lifetsyle intervention for for moderately obese younger older women with UI Weight loss 13. Treatment of UI in older persons should be be proceeded how Step wise process. Stating with addressing first comorbidities and medications, then lifestyle interventions, behavioral treatment, pharmacological treatment, minimally invasive procedures or surgeries. 14. Management of UI should focus on what The most bothersome factors 15. All patients with UI should be screened for?ex Functional status and depression. Functional impairment can be assessed by timed up and go and minicog test 16. Urinary frequency may reflect what High fluid intake, and or use of caffeinated drinks or alcohol. 17. Acute onset of UI or the presence of Suprapubic, lower abdominal, or pelvic pain are what kind of symptoms? What should be done Red flag symptoms. For underlying neurologic or neoplastic disease. Requires immediate referral to neuro, uro, gyno. 18. What is the key difference between UI in younger and older persons UI may be precipitated or worsened by outside factors of urinary tract, including meds, mobility, environment, mentation, manual dexterity. 19. What is an assessment tool for UI bother and quality of life? And can be used to assess for the effect of treatment Urogenital distress index 6, min dif in score is 5/11 20. What kind of therapy is most efficacious for UI Both behavioral and drug therapy. Than either alone 21. Morbidity with UI are Skin breakdown, falls. Fractures 22. Symptoms of UTI Dysuria, frequency, urgency, hematuria 23. UTI is the most common infection seen in who Older adults in nursing homes, or hospitals. 24. Asymptomatic bacteriuria increases with Age and debility 25. For older adults, treatment should not be initiated only based on symptoms... why Common symptoms can mimic other diseases 26. Post menopausal women may also complain of Low back pain, nocturia, incontinence, and constipation. 27. Why is bacteruria and UTI so common in older adults There are conditions or diseases that lead to alterations in normal flora, urinary stasis and obstruction as we age. Shifts in perineal flora and ph bc if estrogen deficiency occurs. Urinary stasis and obstruction can occur due to normal aging, which can lead to increased UTI. Urethra orifice can also be contaminated. 28. What is the UA results for UTI Positive for nitrates and leukocytes + symptoms present 29. What are common signs and Symptoms of UTI in LTC Change in mental Status and characteristics of urine 30. What is not a useful indicator for UTI Presence of pyuria 10 WBC 31. What other diseases can show presence of pyuria ( 10) Nephrolithiasis, IBD, diverticulitis, intro abdominal abscess 32. Treatment of dirty urine in the older adult population with asymptomatic bacteria is Not beneficial 33. What is uncomplicated UTI A healthy person w/o a catheter and no Symptoms of is directed to E. coli 34. Treatment for uncomplicated UTI Bactrim ds BID x 3 days (avoid if prior UTI in last 3 months or resistance to sulfas) Nitrofurantoin 100 mg BID x 5 days Fosfomycin 3g one dose. Has a lower efficacy 35. Complicated UTI is what UTIs in people with Urinary tract abnormalities, UTIs in men, catheters, symptoms of polynephritis 36. How are complicated UTIs treated Based on urine culture results Empiric ATB use, and then narrow down once cultures return Bactrim DS BID x 14 days Ciprofloxacin 500mg BID x7 days Levofloxacin 750mg daily x7 days