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Sas 18

This document discusses urinary tract infections (UTIs) and urinary incontinence. It covers common symptoms of UTIs like frequent urination and urgency. It notes that women are more prone to UTIs after menopause due to reduced estrogen. The document defines stress incontinence as the involuntary loss of urine during activities that increase abdominal pressure. It recommends pelvic floor exercises to help reduce stress incontinence and scheduled toileting for older patients to avoid incontinence.

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Sistine Rose Labajo
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134 views2 pages

Sas 18

This document discusses urinary tract infections (UTIs) and urinary incontinence. It covers common symptoms of UTIs like frequent urination and urgency. It notes that women are more prone to UTIs after menopause due to reduced estrogen. The document defines stress incontinence as the involuntary loss of urine during activities that increase abdominal pressure. It recommends pelvic floor exercises to help reduce stress incontinence and scheduled toileting for older patients to avoid incontinence.

Uploaded by

Sistine Rose Labajo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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SAS 18

1. B

A common symptom of a UTI is dysuria. A patient with a UTI often reports


frequent voiding of small amounts and the urgency to void. Urine that smells
sweet is often associated with diabetic ketoacidosis.

2. C

Women are more prone to UTI's after menopause due to reduced estrogen
levels. Reduced estrogen levels lead to reduced levels of vaginal Lactobacilli
bacteria, which protect against infection. Angina, asthma and fractures don't
increase the risk of UTI.

3. B

Urinary incontinence isn't a normal part of aging nor is it a disease. It may


be caused by confusion, dehydration, fecal impaction, restricted mobility, or
other causes. Certain medications, including diuretics, hypnotics, sedatives,
anticholinergics, and antihypertensives, may trigger urinary incontinence.
Most clients with urinary incontinence can be treated; some can be cured.

4. C

Stress incontinence is best defined as the involuntary loss of urine


associated with activities that increase abdominal pressure caused by this
condition.

5. B

Clients with stress incontinence are encouraged to avoid substances, such as


caffeine and alcohol, that are bladder irritants. Emotional stressors do not
cause stress incontinence. It is most commonly caused by relaxed pelvic
musculature. Wearing girdles is not contraindicated. Although clients may
want to limit physical exertion to avoid incontinence episodes, they should
be encouraged to seek treatment instead of limiting their activities.

6. C

A characteristic of urge incontinence is involuntary urination with little or no


warning. The inability to empty the bladder is urine retention. Loss of urine
when coughing occurs with stress incontinence. Frequent dribbling of urine is
common in male clients after some types of prostate surgery or may occur in
women after the development of a vesicovaginal or urethrovaginal fistula

7. B

Pain with urination is a common symptom of a lower UTI. Urine output does
not decrease, but frequency may be experienced. Flank pain and nausea are
associated with an upper UTI.

8. A

Exercises to strengthen the pelvic floor muscles will help reduce stress
incontinence. The Credé maneuver is used to help empty the bladder for
patients with overflow incontinence. Placing the commode close to the
bedside and assisting the patient to the bathroom are helpful for functional
incontinence.

9. C

In older or confused patients, incontinence may be avoided by using


scheduled toileting times. Indwelling catheters increase the risk for UTI.
Incontinent pads increase the risk for skin breakdown. Restricting fluids is
not appropriate in a patient with dehydration.

10. A

Environmental changes can make it easier for the patient to avoid


incontinence for patients with urinary incontinence. Checking for residual
urine and performing the Credé maneuver are interventions for overflow
incontinence. Kegel exercises are useful for stress incontinence.

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