220-urine elimination

Question 1

action of urination

Answer 1

involuntary control
voluntary control
normal output is 30 mL/hour
urinate every 3-4 hours

Question 2

what control the involuntary control of bladder?

Answer 2

stech receptors (urge to urinate)
detrusor muscle contracts and sphincter relaxes

Question 3

voluntary control of bladder includes?

Answer 3

initiating
stopping
interrupting

Question 4

factors that effect urination

Answer 4

age
food and fluid intake
Activity and muscle tone
pathology
medications

Question 5

how does age effect urination?

Answer 5

Decreased ability to concentrate urine (urinate more)
decreased bladder tone (risk for urinary retention, UTI and renal disease)
decreased bladder contractility (urinate more often)

Question 6

how does pathology effect urination?

Answer 6

UTI
chronic kidney disease
acute kidney disease

Question 7

assessment of bladder

Answer 7

assess the bladder (palpate)
fluid intake (I & O’s)
voiding history
post void residuals (bladder scanning) ((if anything is left why))
urine characteristics (volume over 24 hours, color/clarity/ordor
obtaining specimens

Question 8

what kind of urine test can we do?

Answer 8

urinalysis
urine for culture and sensitivity
clean catch mid stream
timed urine collections

Question 9

Urinalysis

Answer 9

using the dip stick to check urine

Question 10

clean catch mid stream

Answer 10

not sterile used for general information WBC, RBC, sugars

Question 11

Culture and sensitivity

Answer 11

What kind or pathogen and what antibiotic can we use

Question 12

timed urine collection

Answer 12

24 hour period
If patient voids and does not track you have to restart

Question 13

BUN labs

Answer 13

urine function

Question 14

Creatinine labs

Answer 14

kidney function

Question 15

promoting normal urination in hospital

Answer 15

normal schedule (urge, privacy, position, hygiene)
good fluid intake and balance
maintain muscle tone with keels
assist with toileting

Question 16

types of incontinence

Answer 16

stress (laughing or sneezing
overflow(bladder keeps filling)
functional (obstacles like buttons and zippers)

Question 17

treatment for incontinence

Answer 17

Discourage use of alcohol
Use collective devices
Prevent constipation
Strengthen Pelvic floor muscles
Weight loss
Adult Briefs

Question 18

urine incontinence is not

Answer 18

a normal part of aging

Question 19

urine incontinence can be caused by

Answer 19

bowel impaction

Question 20

Ileal conduit

Answer 20

bypass the bladder, connected to the ileal and stoma exposed

Question 21

ureterostomy

Answer 21

by pass ileal conduit and stoma exposed

Question 22

neo bladder

Answer 22

bladder cancer
piece of small intestine and create a neobladder that is connected to urters.

Question 23

leading cause of healthcare expenditures

Answer 23

UTI’s

Question 24

Characteristics of UTI

Answer 24

confusion, frequency, cloudy with foul oder

Question 25

treatment for UTI

Answer 25

Urine Analysis and/or Urine Culture

Question 26

signs of UTI

Answer 26

increased temperature increased WBC increased LOC in the elderly

Question 27

UTI risk factors

Answer 27

female (shorter uritha) older adults (retention) after menopause indwelling catheters diabetics (extra sugar lets bacteria grow)