What is included in the workup of urinary incontinence?
Urinary incontinence is common, increases in prevalence with age, and affects quality of life for men and women. The initial evaluation occurs in the family physician's office and generally does not require urologic or gynecologic evaluation. The basic workup is aimed at identifying possible reversible causes.
What is the goal of nursing care for urinary incontinence?
Rationale: The primary goal of nursing care is to decrease the number of incontinence episodes and the amount of urine expressed in an episode. Behavioral interventions (e.g., diet and exercise) and medications are the nonsurgical management methods used to treat stress incontinence.
When is incontinence considered to be chronic?
If no reversible cause is identified, then the incontinence is considered chronic. The next step is to determine the type of incontinence (urge, stress, overflow, mixed, or functional) and the urgency with which it should be treated.
What are the causes of urinary incontinence?
Dietary irritants and natural diuretics, such as caffeine and alcoholic beverages, may increase stress incontinence. Kegel exercises strengthen the sphincter and structural supports of the bladder.
Which of the following medications is ordered to treat chronic incontinence?
The anticholinergic agents oxybutynin (Ditropan; Oxytrol) and tolterodine (Detrol) are used widely to treat urge incontinence.
Which of the following is not usually found in the urine quizlet?
Substances normally absent from urine include glucose, blood proteins, blood, pus (WBCs), and bile.
Which of the following is not a diuretic quizlet?
Which of the following is not a diuretic? uric acid. kidney stones. conveys urine outside the body.
Which type of urinary incontinence is treated with a β3 adrenergic agonist quizlet?
Beta-3 adrenergic receptor agonists (eg, mirabegron, vibegron) cause relaxation of the detrusor muscle and increased bladder capacity. These agents are indicated for overactive bladder with symptoms of urge urinary incontinence, urgency, and urinary frequency.
Which of the following is usually not found in the urine *?
Usually, glucose, ketones, protein, and bilirubin are not detectable in urine. The following are not normally found in urine: Hemoglobin.
Which from the following list are not normal constituents of urine?
The correct answer is (c) Large proteins. Large proteins are not a normal constituent of urine.
Which of the following does not occur with aging of the urinary system quizlet?
inhibits ADH secretion. Which of the following does not occur with aging of the urinary system? decreased GFR. renal tubules become encased in fat.
Which of the following treatments for an overactive bladder is available in an OTC patch?
The drug oxybutynin may be used to treat OAB. It is available over-the-counter in patch form, which delivers 3.9 mg of oxybutynin daily through your skin.
Which of the following are abnormal constituents of urine quizlet?
Terms in this set (8)Glucosuria (glucose in urine) ... Hematuria (abnormal RBC) erythrocytes in urine. ... Pyuria (WBC in urine) ... Albuminuria (excess albumin in urine) ... Ketonuria (ketone bodies in urine) ... Casts. ... Calcui. ... Microbes.
Which type of medication may be used in the treatment of a patient with incontinence to inhibit contraction of the bladder?
Anticholinergic medications include: Oxybutynin (Ditropan XL, Oxytrol) Tolterodine (Detrol) Darifenacin (Enablex)
What is the first line of treatment for urinary incontinence?
It appears that the best first-line treatment for patients with stress urinary incontinence among pelvic floor exercise, functional electrical stimulation, and vaginal cone is also the least expensive: pelvic floor exercise.
What is the management of urinary incontinence?
Anticholinergics. These medications can calm an overactive bladder and may be helpful for urge incontinence. Examples include oxybutynin (Ditropan XL), tolterodine (Detrol), darifenacin (Enablex), fesoterodine (Toviaz), solifenacin (Vesicare) and trospium chloride. Mirabegron (Myrbetriq).
What is bladder training?
Bladder training requires that the client postpone voiding, resist or inhibit the sensation of urgency, and void according to a timetable, rather than according to an urge. Habit training is also referred to timed or scheduled voiding. There is no attempt to motivate the client to delay voiding if the urge occurs.
Why is it important to eat fluids in urine?
Large amounts of fluid ensure a large urine output, which keeps the bladder flushed out and decreases the likelihood of urinary stasis and subsequent infection. Eating foods that increase the acid in urine helps to reduce the risk of urinary tract infections and stone formation.
What is the primary goal of nursing care?
Rationale: The primary goal of nursing care is to decrease the number of incontinence episodes and the amount of urine expressed in an episode. Behavioral interventions (e.g., diet and exercise) and medications are the nonsurgical management methods used to treat stress incontinence.
Does the bladder decrease with age?
Rationale: The capacity of the bladder may decrease with age but the muscle is weaker and can cause urine to be retained (option 4). Older adults do not ignore the urge to void and may have difficulty in getting to the toilet in time (option 2). The kidney becomes less able to concentrate urine with age (option 3). 7.
Can stress cause bladder irritability?
Rationale: 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.
What is the term for excessive urination during the night?
A. Nocturia refers to excessive urination during the night. B. Polyuria refers to excessive urination and is frequently associated with diabetes mellitus. C. Dysuria refers to pain or difficulty urinating. D. Urinary incontinence is the need to pee right away.
What is peritoneal dialysis?
Peritoneal dialysis is also known as an artificial kidney. C. Nephrolithotomy is used to break down kidney stones from the outside. D. An indwelling catheter is one that remains in the body for any prolonged period of time. An indwelling catheter is one that remains in the body for any prolonged period of time.