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ATI URINARY INCONTINENCE EXAM Q&A
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ATI URINARY INCONTINENCE EXAM Q&A
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ATI URINARY INCONTINENCE EXAM Q&AUrinary Incontinence - Answer--A significant contributing factor to skin breakdown and
falls, especially in older adults
Major types - Answer--Stress
-Urge
-Overflow
-Reflex
-Functional
-Transient
Urinary Incontinenec-Stress - Answer--Loss of small amounts of urine from increased
abdominal pressure without bladder muscle contraction when laughing, sneezing or
lifting
-Can occur in females due to weak pelvic floor muscles following childbirth or
menopause, and in males due to alterations in the urethra following a prostatectomy
Urinary Incontinence-Urge - Answer--Inability to stop urine flow long enough to reach
the bathroom due to an overactive detrusor muscle with increased bladder pressure
-Can occur due to bladder irritation from a UTI or an overactive bladder
Urinary Incontinence-Overflow - Answer--Urinary retention from bladder overdistension
and frequent loss of small amounts of urine due to obstruction of the urinary outlet or an
impaired detrusor muscle.
-Can occur as a result of a neurologic disorder (spinal cord injury, or multiple sclerosis)
and can lead to neurogenic (flaccid) bladder
-Can also occur with an enlarged prostate
Urinary Incontinence-Reflex - Answer--Involuntary loss of a moderate amount of urine
usually without warning dur to hyperreflexia of the detrusor muscle, usually from spinal
cord dysfunction.
-Can occur due to impaired central nervous system (stroke, multiple sclerosis, or spinal
cord lesions)
Urinary Incontinence-Functional - Answer--Loss of urine due to factors that interfere
with responding to the need to urinate (cognitive, mobility, and environmental barriers)
Urinary Incontinence-Transient - Answer--Reversible incontinence due to inflammation
or irritation (UTI), temporary cognitive impairment, disease process (hyperglycemia),
medications (diuretics, anticholinergics, sedatives)
Risk Factors for Urinary Incontinence - Answer--Female sex
-History of multiple pregnancies and vaginal births, aging, chronic urinary retention,
urinary bladder spasm, renal disease, chronic bladder infection (cystitis)
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