Exam (elaborations)
ATI URINARY EXAM QUESTIONS AND ANSWERS
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ATI URINARY EXAM QUESTIONS AND ANSWERS
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ATI Urinary EXAM QUESTIONS ANDANSWERS
Urinary Incontinence Define - Answer-significant factor to skin breakdown and falls,
especially in adults
Major types of urinary incontinence - Answer-stress
urge
overflow
reflex
functional
total
stress incontinence - Answer-loss of amounts of urine from increased abdominal
pressure w/o bladder muscle contraction w/ laughing, sneezing, or lifting
over flow incontinence - 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, bladder distension during assessment
urge incontinence - Answer-inability to stop urine flow long enough to reach the
bathroom due to an overactive detrusor muscle with increased bladder pressure
reflex incontinence - Answer-involuntary loss of moderate amount of urine usually
without warning due to hyperreflexia of the detrusor muscle, usually from spinal cord
dysfunction, void w/o knowing
functional incontinence - Answer-loss of urine due to factors that interfere with
responding to the need to urinate, such as cognitive, mobility and environmental
barriers, can't get there fast enough
total incontinence - Answer-unpredictable, involuntary loss of urine that generally does
not respond to treatment
expected findings urinary incontinence - Answer-loss of urine when laughing, sneezing
enuresis (bed-wetting)
bladder spasms
,urinary retention
frequency, urgency, nocturia
risk factors of urinary incontinence - Answer-female gender
history of multiple pregnancies and vaginal births, aging, chronic urinary retention,
urinary bladder spasms, renal disease, chronic bladder infection (cystitis)
neurological disorders: Parkinson's disease, cerebrovascular accident, spinal cord
injury, multiple sclerosis
medication therapy: diuretics, opioids, anticholinergics, Ca channel blockers,
sedatives/hypnotics, adrenergic antagonists
risk factors UI continued - Answer-obesity
confusion, dementia, immobility, depression
physiological changes of aging
decreased estrogen levels and decreased pelvic muscle tone
immobility, chronic degenerative diseases, dementia, diabetes mellitus, cerebrovascular
accident
urinary incontinence increasing the risk of falls, fractures, pressure ulcers, and
depression
UI lab tests - Answer-urinalysis and urine culture and sensitivity
serum creatinine and BUN
urinalysis and urine culture and sensitivity - Answer-to identify UTI (presence of RBCs,
WBCs, micro-organisms)
serum creatinine and BUN - Answer-To assess renal function (elevated with renal
dysfunction)
UI diagnostic procedures - Answer-ultrasound
voiding cystourethrography
urodynamic testing
, electromyography
ultrasound - Answer-UI diagnostic procedure
detects bladder abnormalities and/or residual urine
voiding cystourethrography - Answer-UI diagnostic procedure
identifies size, shape, support, and function of urinary bladder, obstruction (prostate),
residual urine
urodynamic testing - Answer-UI diagnostic procedure
cystourethroscopy: visualizes inside of the bladder
uroflowmetry: measures the rate and degree of bladder emptying
electromyography - Answer-UI diagnostic procedure
measures strength of pelvic muscle contractions
UI Patient centered care - Answer-establish toileting schedule
monitor and increase fluid intake during day and decrease fluid intake before bed
remove/control barriers to toileting
provide incontinence garments
apply external or condom catheter for men
avoid use of indwelling catheters
provide incontinence care
UI patient centered care teachings to clients - Answer-how to keep incontinence diary
how to perform Kegal exercises: tighten pelvic muscles for 10 count, relax slowly for 10
count, repeat in sequences of 15 in lying down, sitting and standing
bladder compression techniques (Crede, Valsalva, double voiding, splinting) to help
manage reflex incontinence
avoid caffeine and alcohol consumption because produce diuresis and urge to urinate
adverse effects of meds that affect urination
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