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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. Sacral neuromodulation (SNM) is indicated for which type of urinary incontinence?

    Answer: Refractory overactive bladder or urge incontinence not responding to conservative therapy

    SNM modulates sacral nerve activity to normalize detrusor function and is FDA-approved for refractory OAB and urge urinary incontinence that fails conservative and pharmacological treatment.

  2. A pessary is used in women primarily to manage:

    Answer: Pelvic organ prolapse and related stress urinary incontinence

    A pessary is a vaginal support device inserted to reduce pelvic organ prolapse and restore urethrovesical angle, which often alleviates associated stress urinary incontinence.

  3. Nocturia (two or more nighttime voids) in older adults is most commonly caused by:

    Answer: Nocturnal polyuria (overproduction of urine at night) due to fluid redistribution and reduced ADH

    Nocturnal polyuria—disproportionate urine production at night from fluid redistribution and age-related decline in ADH secretion—is the most prevalent cause of nocturia in older adults.

  4. The most common bacteria causing catheter-associated urinary tract infections (CAUTIs) in hospitalized patients is:

    Answer: Escherichia coli

    Escherichia coli is the most frequent pathogen in CAUTIs, accounting for approximately 25–30% of cases, consistent with its prevalence in the perineal flora.

  5. A structured skin care program for IAD prevention includes which three components?

    Answer: Cleanse, protect, and restore (structured skin care regimen)

    IAD prevention follows a cleanse–protect–restore framework: gentle pH-balanced cleansing, application of a moisture barrier, and skin restoration with emollients or barrier creams.

  6. Double incontinence (combined urinary and fecal incontinence) significantly increases the risk of:

    Answer: Severe incontinence-associated dermatitis (IAD) and pressure injury

    Exposure of the perineal and perianal skin to both urine and feces simultaneously greatly accelerates skin breakdown, increasing IAD severity and the risk of pressure injury development.