GI/GU

Front

This term means to experience a loss of urine during the night (i.e. bed wetting)

Back

enuresis

Answer explanation

Oliguria: less normal than normal

Anuria: no urine output

Enuresis: voiding while sleeping

Nocturia: nighttime voiding

Dysuria: pain/discomfort with voiding

Front

This drug is an SNRI that also has anticholinergic properties:

Back

Duloxetine

Answer explanation

Oxybutynin: anticholinergics, dry mouth

Tolterodine: dudes with BPH can have urinary retention

Mirabegron: B3 agonist, monitor BP for highs, avoid warfarin as it increases bleeds

Midodrine: Alpha-Adrenergic Agonist, supine HTN risk

Duloxetine: SNRI

I suggest you take a look at the medication list for urinary incontinence.

Front

When providing bladder training, the nurse knows to provide further education when the client makes which statement: If I need to void between intervals, I can just go. There is no need to resist the urge.

Back

The client should resist the urge to void between scheduled intervals.

Answer explanation

Bladder training and habit training are DIFFERENT. Habit training is more appropriate for dementia and other AMS patients. See Box 58.3

Front

The RN knows the patient understands education on urinary incontinence when the patient states: If using pads, I should monitor my skin and change the pad anytime it is soiled or wet.

Back

The patient understands the importance of monitoring skin and changing pads to prevent skin irritation.

Front

Which "itis" describes inflammation of the bladder?

Back

Cystitis

Front

When teaching about prevention of urinary tract infections, the nurse knows the patient understands teaching when they state: I will gently wash my perineal area before intercourse.

Back

The patient understands the importance of hygiene in preventing urinary tract infections.

Answer explanation

-Drink 2-3 L

-SLEEP and eat a well balanced diet

-avoid spermicide use

-do not hold urination (looking at you nurses)

-F: wipe front to back

-F: avoid douches, scented vaginal products, bubble baths, tight-fitting or synthetic panties

-F: empty bladder pre/post coitus

-M&F: wash perineal area

Front

Which anatomical gender is more likely to have a UTI?

Back

Females

Answer explanation

Females are more likely to have a UTI due to the shortened urethra.

Front

The number one cause of urethritis is: CAUTIs, STIs, BPH, Vaginal Prolapse

Back

STIs

Front

When considering management of nephrolithiasis, the nurse's priority is:

Back

pain management

Answer explanation

Without pain management, your patient will be unable to intake fluids or ambulate due to pain. Pain control also assists with stone expulsion. If unable to pass stone, lithotripsy (shockwave therapy) is used. Monitor EKGs for dysrhythmias following and strain urine for stones. Mild bruising in the flank area is expected following lithotripsy. Stents can also be placed to support stone explusion. Similar concerns to lithotripsy!

In addition to pain management, be on the lookout for other emergency situations such as urinary stasis from the stone blocking urine outflow. This can be seen with increased abdominal girth or bladder distention.

Front

The most common cause of glomerulonephritis is: HIV, sexually transmitted, varicella, post-streptococcus

Back

post-streptococcus

Answer explanation

Antigens following (roughly 10 days post) a strep infection become trapped in the glomerulus causing an inflammatory response leading to kidney dysfunction. The others are absolutely causes of GN though strep is the most common.