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Exam 3: NUR 6111/ NUR6111 (NEW 2025/ 2026 Update) Advanced Practice Nursing I Guide| Questions & Answers| Grade A| 100% Correct (Verified Solutions)

HEAL100 Health Care — exam and revision material · Other

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Health Care exam material, 14 pages. Originally published on StudyMerit.

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14
Academic year
2025/2026
Language
English

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NUR 6111 exam 3 male GU disorders and mens health 15 studiers today Leave the first rating Students also studied Science Medicine Urology Save Groups Flashcard sets Study guides exam 3 questions Teacher 9 terms kateamoruso Preview acute disorders 43 terms repettocassidy Preview GU 112 terms hannahandpets Preview NUR 61 48 terms jkim urinary incontinence involuntary loss of urine (in an adult patient) from the urethra major inconvenience more common in females then males effects of urinary incontinence increased risk of skin infections: incontinence dermatitis (diaper rash), bacterial/ fungal infections activities such as running or other high impact exercises are often avoided or stopped avoiding social activities, isolation, depression and anxiety financial: 23% of women take time off work RF incontinence increasing age declining estrogen levels multiparity dementia DM spinal cord injury/ lesion prostatic hypertrophy stroke medications (ex. diuretics) immobility Terms in this set (145) Hide definitions

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Stress urinary incontinence predictable loss of urine with activities that increase intra abdominal pressure (sneezing, laughing, exercising) Urge urinary incontinence urgency as well as increased urinary frequency or nocturia. Patients typically lose urine on the way to the toilet Mixed urinary incontinence has both components of stress and urge incontinence Overflow urinary incontinence urinary retention and subsequent leakage patients may strain to pass urine or have a sensation of incomplete emptying Functional urinary incontinence occurs when there are barriers to toileting such as cognitive impairment, physical frailty or immobility assessment findings urinary incontinence involuntary loss of urine urinary urgency perineal irritation pelvic exam: may detect GU pathology rectal exam: may demonstrate prostatic pathology, fecal impactation abdomen: may palpate distended bladder urinalysis for urinary incontinence abnormal: hematuria, pyuria, bacteriuria, glycosuria, proteinuria order urine culture if bacteria is detected Cystometry urinary incontinence severe urgency or bladder contractions when <300ml of bladder volume= urge incontinence BUN, creatinine urinary incontinence suspected obstruction, noncompliant bladder, urinary retention FBS and Ca levels urinary incontinence polyuria and lack of diuretic drugs dx urinary incontinence urinalysis cystometry BUN, creatinine FBS and Ca levels voiding diary 203 days indicating when incontinent episodes occur post voiding residual volume measurement (200-300ml)

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prevent urinary incontinence kegel exercises or pelvic floor therapy treatment of BPH maintain healthy weight adequate oral hydration avoidance of bladder irritants (caffeine, alcohol) smoking cessation non pharm management stress urinary incontinence behavioral therapies: timed or double voiding, smoking cessation, weight loss, pelvic muscle exercises with or without a physical therapist, pessary, bowel management surgical: injectables, bladder neck suspensions, slings, artificial sphincters pharm mgt Stress UI not FDA approved alpha adrenergic agonist: pseudoephedrine (Sudafed)- increase urethral pressure and outlet resistance, may improve s/s without significant side effects tricyclic antidepressant: Imipramine 10-25mg PO up to TID- may be useful in younger patients who have failed other therapies, alpha agonist and anticholinergic effects Estrogen- topical cream (may help improve urethral closure) Urge UI non pharm mgt behavioral therapies: same as stress UI with bladder training, scheduled voiding, bladder irritants minimization, and urge suppression surgical therapy: neurosacral modulation, bladder augmentation, botulinum toxin injection Urge UI pharm mgt anticholinergic/ antimuscarinics: oxybutynin 2.5-5mg PO BID-TID, tolterodine 2mg BID (caution with bladder outflow obstruction, caution in OA, sedation, confusion, delirium) beta adrenergic agonists: mirabegron 25mg PO daily (may increase BP in patients with HTN, not recommended in severe hepatic or renal impairment) mixed UI management combination of therapies for stress and urge incontinence overflow UI nonpharm mgt behavioral therapies: timed or double voiding, clean intermittent catheterization, pessary surgery: to relieve urethral obstruction or stricture or to reduce prolapse

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