Chapter 15 urinary incontinence

• Question 1 7.14 out of 7.14 points Urinary incontinence has been associated with: Answers: Constipation, Confusion

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Impaired mobility Reaction to medication All of the above None of the above • Question 2 7.14 out of 7.14 points Incontinence affects twice as many men as women. Answers: True False • Question 3 7.14 out of 7.14 points Urge incontinence may occur when one hears the sound of water, or when on the way to the toilet. Answers: True False • Question 4 7.14 out of 7.14 points Drugs like Ditropan and Detrol are effective for urinary incontinence because they strengthen bladder muscle tone and cause the bladder muscle to contract. Answers: True False • Question 5 7.14 out of 7.14 points Urinary incontinence is associated with all of the following except: Answers: Impaired mobility Drinking 1500cc of water in 24 hours Weak pelvic muscles Urinary tract infection • Question 6 Bladder training includes: 7.14 out of 7.14 points Answers: Patient education Scheduled voiding Positive reinforcement All of the above • Question 7 7.14 out of 7.14 points The symptoms of Stress Incontinence include: Answers: Feeling overwhelmed by work. Having an urgency to go to the toilet. Losing urine while sneezing, laughing, coughing or moving about. Passing a little bit of urine without feeling the need to urinate. • Question 8 7.14 out of 7.14 points Kegel exercises strengthen pelvic floor muscles and reduce urinary incontinence. Answers: True False • Question 9 7.14 out of 7.14 points Urinary incontinence is a normal consequence of ageing. Answers: True False • Question 10 7.14 out of 7.14 points If a patient answers “yes” to the following questions, it may indicate he/she has a problem with UI. Answers: Does your bedding have urine stains? Does coughing or sneezing cause you to wet yourself? Do you lose urine in sufficient quantity to be a problem for you? Second and third questions only All three questions • Question 11 (wrong answer) 0 out of 7.14 points Mrs. Doe is 68 years old, 30 hours post-stroke with left hemiparesis. Her bedding is wet and her urine is dark amber with a foul smell. Mrs. Doe is asking for an indwelling catheter. Answers: Notify the stroke rehabilitation team of the incontinence Initiate a prompted voiding schedule and appropriate absorbent padding. Encourage her to drink more water, if not on fluid restriction. Patient teaching regarding the risk of UTI with an indwelling catheter. All of the above. • Question 12 7.14 out of 7.14 points Having a stroke can cause UI. Answers: True False • Question 13 7.14 out of 7.14 points Behavioral management of UI includes all of the following except: Answers: Prompted voiding Scheduled toileting Pharmacologic or surgical treatment Praising the patient for being dry and using the toilet • Question 14 Ageing is associated with bladder capacity Answers: True False 7.14 out of 7.14 points
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