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NURS 1067 Week 11 Final Exam Review 2024 Set
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NURS 1067 Week 11 Final Exam Review 2024 Set
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Nursing Interventions - Pelvic Muscle Exercise (Kegel Exercises)Effective for stress incontinence
Nursing Interventions - Promote complete bladder emptying,
Effective for the client with urinaryretention,Scheduled toileting,Every 3-4hrs
Don't rush patient
Double voiding
Void, sit on toilet for 3-4 minutes, void again
Physical Assessment - Signs and symptoms of dehydration;Inspect perineal area;Assess skin
integrity, rash, discharge?
;Kidneys and bladder
Distention → Retention
Post-void residual → Retention (use of bladder scan);Flank pain;Assess urine ACCO
urinary retention - inability to empty the bladder despite micturition or the accumulation of
urine in the bladder because of an inability to urinate.
chronic (urinary retention) - -Chronic: incomplete bladder emptying despite urination
acute (urinary retention) - -Acute: total inability to pass urine
Medical emergency
(causes) Urinary Retention - Deficient detrusor muscle strength, Detrusor muscle does not
contract with enough force to empty bladder, Neurological diseases, over distension of
bladder, alcoholism, medications(anticholinergics)
(causes) Urinary Retention - Bladder outlet obstruction, Bladder cant empty due to an
obstruction
(causes) urinary retention - Additional causes,Surgical or childbirth trauma, fecal impaction
, Urinary Retention - Clinical Manifestations - Feelings of:pressure, discomfort, tenderness of
suprapubic area, restlessness;Diaphoresis;
Overflow incontinence
Voiding small amounts frequently, no relief or comfort post void;
Post-residual void > 150ml
Health History - Past medical health history (related comorbidities);
Infectious status, diabetes, cognitive impairment, Parkinsonism, arthritis, back problems,
sensory impairment, visual & hearing impairments
Health History - Lifestyle factors (smoking, obesity);Medications
diuretics, morphine, sedatives;Environment, cognitive, functional status
impaired urinary elimination - a general diagnosis; diagnosis allow nurses to support clients
until a more specific nursing diagnosis or medical diagnosis can be made, stress
incontinence, urge incontinence.
urinary incontinence - uncontrolled loss of urine that is of sufficient magnitude to be a
problem; can affect anyone across the lifespan, however higher prevalence among older
adults; among younger adults, affects more women than men; affects the quality of life and
may have serious health consequences; UI is a symptom due to various causes.
Related Nursing Diagnoses - -Toileting self care deficit
-Risk for impaired skin integrity
-Risk for infection
-Diagnoses related to stress, self-esteem, personal identity, social isolation, disturbed body
image
-Impaired comfort
-Pain
Nursing Interventions - Keep a bladder log
Promote and maintain regular voiding patterns,Be available, answer call bells, give patient
time to void completely,Bladder/Habit training
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