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Continence Care Flashcards

6 cards from real NCWO practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 6 Continence Care flashcards as text

  1. Fecal incontinence (FI) associated with loose or liquid stool is most commonly managed initially with:

    Answer: Dietary fiber supplementation to add bulk and slow transit

    Dietary fiber bulks the stool and slows intestinal transit, making fecal incontinence associated with loose stools easier to control before escalating to procedural interventions.

  2. The anal plug device is used in fecal incontinence management to:

    Answer: Occlude the anal canal to prevent unintended stool passage

    An anal plug is a disposable device inserted into the anal canal to physically block passage of stool, providing a continence barrier for patients with FI.

  3. Intermittent catheterization (IC) is preferred over indwelling urethral catheterization for long-term bladder management because IC:

    Answer: Significantly reduces the risk of catheter-associated urinary tract infection (CAUTI)

    IC eliminates the continuous foreign body in the urethra and bladder, dramatically lowering CAUTI risk compared to indwelling urethral catheters.

  4. Urinary retention post-operatively is most commonly caused by:

    Answer: Opioid analgesia and anesthetic effects inhibiting detrusor contractility

    Opioids and anesthetic agents inhibit the detrusor muscle and increase urethral sphincter tone, commonly causing post-operative urinary retention.

  5. The recommended daily fluid intake for a continent adult to maintain normal voiding and prevent UTI is approximately:

    Answer: 1500–2000 mL/day

    An intake of 1500–2000 mL/day maintains adequate urine output, dilutes urinary irritants, and reduces UTI risk without overloading the bladder.

  6. When catheterizing a female patient using clean intermittent catheterization (CIC), the catheter should be inserted:

    Answer: 2–4 cm or until urine flows, then advanced 1 cm more

    For female CIC, the catheter is advanced 2–4 cm (approximately 1.5–2 inches) into the urethra until urine flows, then advanced slightly further to ensure full bladder drainage.