ms lec quiz 1 finals

- The inability to void despite an urge to void

- There is an urge to urinate, but the main problem is that the patient cannot pass a specific type of urine content because there is an obstruction.

- predisposes a patient to develop UTI.

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

S/S

- Distended bladder

- Discomfort in pelvic region

- Voiding Frequent, small amounts

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

medical management/nursing intervention

- warm shower/sitz bath

- Natural voiding position if possible

- Urinary catheter

- Surgical removal of obstruction

- Analgesics

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

- Involuntary loss of urine from the bladder

- Usually common in elderly individuals

- Permanent or temporary

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

s/s

- Involuntary loss of urine

- Leaking with coughing, sneezing, or lifting

- If a person laughs too much, unconsciously there is an urge to urinate

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

medical management/nursing intervention

● Treat underlying cause

● Surgical repair of bladder

● Temporary or permanent catheter

● Bladder training

● Kegel’s exercise - strengthens pelvic floor

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

● Loss of voluntary voiding control

● Results in urinary retention or incontinence

● Lesions of the nervous system that interferes with normal nerve conduction to the urinary bladder

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

2 types

→ Spastic

→ Flaccid

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

s/s

● Infrequent voiding

● Incontinence

● Diaphoresis, flushing, nausea prior to reflex Incontinence

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection

medical management/nursing intervention

● Antibiotics; urecholine

● Intermittent catheterization

● Bladder Training

• urinary retention

• urinary incontinence

• neurogenic bladder

• urinary tract infection