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MVU NURS 620 EXAM 3 ,Men-s Health with complete solutions
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MVU NURS 620 EXAM 3 ,Men's Healthwith complete solutions
Common nnCauses nnof nnincontinence nn- nncorrect nnanswer-- nnDecreased nnbladder nncapacity
- nnIncreased nnresidual nnurine
- nnModerate nndribbling nnof nnurine nn
- nnUrinary nntract nninfection-urgency/incontinence
Reasons nnfor nnincreased nnresidual nnurine nn- nncorrect nnanswer-(from nninability nnto nnempty nnthe nnbladder) nnor
nninvoluntary nnbladder nncontractions
Some nncauses nnof nndribbling nnof nnurine nn- nncorrect nnanswer-May nnindicate nnoverflow nnfrom nna nnpartially
nnincompetent nnoutlet nnand nncan nnbe nncongenital nnor nnan nnacquired nnanomaly
Less nncommon nncauses nnof nnincontinence nn- nncorrect nnanswer-Spinal nncord nndisease
Multiple nnsclerosis
Tumors
Trauma
Syphilis
Diabetic nnneuropathy
Differential nnDx nn
Nocturia nn& nnIncontinence nn- nncorrect nnanswer-
A nnDx nnof nnIncreased nnfrequency nn- nncorrect nnanswer-- nnPrimary nndisease nnof nnthe nnurinary nntract
- nnMetabolic nndisease nnsuch nnas nndiabetes nnmellitus nnor nn
diabetes nninsipidus
nn
,A nnDx nnwith nnUrinary nnUrgency nn- nncorrect nnanswer-Prostatic nndisease nnor nnbladder nninfection
A nnDx nnwith nnDribbling nn- nncorrect nnanswer-Urethral nnstricture
Prostatic nnobstruction
Neurologic nndisorder
A nnDx nnof nnOliguria nn- nncorrect nnanswer-Acute nnglomerulonephritis
Other nnrenal nndisease
Conditions nnthat nndrastically nndecrease nncardiac nnoutput
Most nncommon nnmicroorganisms nnfound nnin nna nnUA nn- nncorrect nnanswer-Klebsiella nnpneumoniae, nnProteus
nnmirabilis, nnEnterobacter, nnStaphylococcus, nnEnterococcus nn(Streptococcus nnbacteria nnassociated nnwith
nnthe nnintestines), nnor nnPseudomonas
UTI's nnin nnmen nnare nndifferent nnthan nnwomen nnhow nn- nncorrect nnanswer-- nnThey nnare nnconsidered
nncomplicated
- nnRequire nnlonger nnduration nnof nnantibiotics
- May nnrequire nnreferral nnto nnurologist nnbased nnon nnexam
nn nn
Initial nndiagnostic's nnin nnmens nnhealth nn- nncorrect nnanswer-UA, nnPSA, nnDigital nnRectal nnExam nn(DRE)
BPH nn(benign nnprostatic nnhyperplasia) nn- nncorrect nnanswer-Age-associated nnprostate nngland nnenlargement
nnthat nncan nncause nnurination nndifficulty. nnNodular nnhyperplasia nnof nnthe nnprostate
It nnis nnBPH nnwhen nnthe nnfollowing nnare nnseen nn____ nn- nncorrect nnanswer-- nnProstate nnsize nn(greater nnthan nn30
nnmL)
- nnDecreased nnurinary nnflow nnrates nn(less nnthan nn15mL/sec)
- nnSignificant nnpost-void nnresidual nn(PVR) nnbladder nn
volumes nn(greater nnthan nn50 nnmL)
nn
, What nnis nnthe nnAUASI? nn- nncorrect nnanswer-It nnis nna nnshort, nnself-administered, nnand nnclinically nnsensible
nnquestionnaire nndesigned nnto nnprovide nna nnBPH nnsymptom nnscore nnincorporating nnpsychometric
nnproperties nnto nncapture nnthe nnseverity nnof nnsymptoms.
AUASI nnScore nn- nncorrect nnanswer-Mild: nn0-7
Moderate: nn8-19
Severe: nn20 nnor nngreater
Irritative nnsymptoms nnof nnBPH nninclude nn- nncorrect nnanswer-Nocturia
Urinary nnfrequency
Urgency
Dysuria
Urge nnincontinence
Subjective nnfindings nnof nnobstructive nnBPH nn- nncorrect nnanswer-Decreased nnforce nnof nnstream
Hesitancy nn
Post-void nndribbling nn
Sensation nnof nnincomplete nnbladder nnemptying nn
Overflow nnincontinence nn
Inability nnto nnvoluntarily nnstop nnthe nnurinary nnstream
Urinary nnretention
Double nnvoiding nn(voiding nna nnsecond nntime nnwithin nn2 nnhours)
Straining
Clinical nnFindings nnObjective nnBPH nn- nncorrect nnanswer-- nnDRE nnto nndetermine nnenlargement nnof nnthe
nnprostate nn
gland
nn
- nnProstate nnenlargement nn(to nnmore nnthan nnthe nnnormal nn
"walnut" nnsize, nnweighing nn20g nnor nnless)
nn
- nnGross nnhematuria nn(in nnmen nn>60 nnyears nnof nnage)
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