CH 44 urinary elimination

Question 1

Urinary elimination is a precise system of

Answer 1

filtration, reabsorption, and exertion

Question 2

Urinary system, process help maintain

Answer 2

fluid and electrolyte balance while glittering and excreting water soluble wat=sted

Question 3

The primary organs of the urinary elimination system are

Answer 3

the kidney

Question 4

The nephrons perform most of the functions of

Answer 4

filtration and elimination

Question 5

most adults produce

Answer 5

1,000-2,000 ml a day of urine

Question 6

After filtration

Answer 6

the urine passes through the ureters into the bladder

Question 7

the bladder

Answer 7

the storage reservoir for urine

Question 8

urine passes from the bladder through the

Answer 8

urethra and exits the body

Question 9

urinary diversions

Answer 9

are created to reroute urine and are temporary or permanent

Question 10

Surgeons create urinary diversions for clients who

Answer 10

have bladder cancer or injury

Question 11

Ureterostomy (lead conduit)

Answer 11

incontinet urinary diversion in which the surgeon attaches one or both ureters via a stoma to the abdominal wall

Question 12

Nephrostomy

Answer 12

incontinent urinary diversion in which the surgeon attaches a tube from the renal pelvis via a stoma to the surface of the abdominal wall

Question 13

kock pouch (content lead bladder conduit)

Answer 13

a continent urinary diversion in which the surgeon forms a reservoir from the ileum. The pouch is emptied by clean straight catheter every 2 - 3 hours.

Question 14

neurobladder

Answer 14

a new bladder created by the surgeon using the ileum that attaches to the ureters and urethra. It asllows the client to maintain continence. The client learns to void by straing the abdominal muscles

Question 15

Factors that affect urinary elimination

Answer 15

poor abdominal and pelvic muscle tone, acute and chronic disorders, spinal cord injury, age, pregnancy, diet, immobility, psychosocial factors, pain, surgical procedures, medications.

Question 16

Children receive full bladder control by age

Answer 16

4 to 5 years

Question 17

An enlarged prostate can obstruct

Answer 17

the bladder outlet which leads to retention and urgency

Question 18

childbirth and gravity

Answer 18

weaken the pelvic floor

Question 19

A growing fetus can compromises bladder space and

Answer 19

compress the bladderi

Question 20

in pregnancy their is a 30 to 50 percent increase in circulatory volume which increases

Answer 20

renal workload and output

Question 21

An increase in sodium leads to a

Answer 21

decrease in urination

Question 22

Caffeine and alcohol lead to an

Answer 22

increase in urination

Question 23

Phenazophyridine medication causes

Answer 23

orange or red urine color

Question 24

Amitrityline medication causes

Answer 24

green or blue urine color

Question 25

levodopa medication causes

Answer 25

dark urine color

Question 26

riboflavin medication causes

Answer 26

bright yellow urine color

Question 27

Urinary tract infections risk factors

Answer 27

females-because of close location of urethral meatus and anus indwelling urinary catheters

Question 28

UTI symptoms

Answer 28

urgency, frequency, fever, during

Question 29

older adult clients utilize symptoms

Answer 29

confusion, incontinence, falls, fatigue, anorexia

Question 30

Client edu for Otis

Answer 30

2,000-3000 ml water daily, complete Course of antibiotics, avoid tight fitting clothing's,

Question 31

bladder scanner

Answer 31

non-invasive portable ultrasound scanner for measuring bladder volume and residual after urination

Question 32

xray

Answer 32

uses to determine size shape and position of kidneys ureters and bladder

Question 33

Intravenous pyelogram

Answer 33

injection of contrast media(iodine) for viewing ducts, renal pelvis, ureters, bladder, and urethra

Question 34

Contrast media(iodine) is not always contraindicated in clients who have

Answer 34

selfish allergy

Question 35

Renal scan

Answer 35

view of renal blood flow and anatomy of the kidneys without contrast

Question 36

Renal Ultrasound

Answer 36

View of gross renal structures and structural abnormalities using high frequency sound wavesCy

Question 37

Cystoscopy

Answer 37

use of lighted instrument to visualize treat and obtain specimens from the bladder and urethra

Question 38

urodynamic testing

Answer 38

test for bladder muscle function by filling the bladder with CO or 0.9% sodium chloride and comparing pressure reading with reported sensations

Question 39

Normal amount of urine appt an hour

Answer 39

30mL/ hr

Question 40

Less than 30 mL/ hour urine output for more than 2 hour

Answer 40

should be reported to the provider

Question 41

Urinalysis

Answer 41

random non-sterile specimens

Question 42

clean catch midstream for c&s

Answer 42

catch midstream

Question 43

Catheter urine specimen for c&s

Answer 43

obtain a sterile specimen from straight or indwelling catheter using surgical asepsis (sterile technique)

Question 44

Timed urine specimen

Answer 44

collect for 24 hours or duration prescribed, discard first void, urine in fridge

Question 45

Stress incontinence

Answer 45

Loss of small amounts of urine farm increased abdominal pressure without bladder muscle contraction. laughing, sneezing, or lifting. Weak pelvic floor muscle following childbirth or menopause.

Question 46

urge incontinence

Answer 46

inability to stop urine flow long enough to reach bathroom. bladder irritation, overactive bladder,

Question 47

overflow incontience

Answer 47

frequent loss of small amounts of urine due to urinary retention from bladder dissection obstruction etc

Question 48

reflex incontience

Answer 48

involuntary loss of moderate amount of urine usually without warning due to hyperflexia of detrusor muscle, usually from spinal cord injury

Question 49

Function incotinence

Answer 49

Loss of urine due to factors that interfere with responding to the need to urinate

Question 50

transient incontinence

Answer 50

reversible due to inflammation or irritation, temporary cognitive impairments

Question 51

Urinalysis and urine culture & sensitivity

Answer 51

to identify the present of uti showng rbs wbcs micro organisms

Question 52

Blood creatine and BUN

Answer 52

assess renal function

Question 53

ultrasound

Answer 53

detect bladder abnormalities or residual urine

Question 54

voiding cystourethrography

Answer 54

identifies the size, shape, support, and function of the urinary bladder, prostate obstruction

Question 55

urodynamic testing

Answer 55

cystourethroscopy and uroflowmetry

Question 56

Cystourethroscpy

Answer 56

visualizes the inside of the bladder

Question 57

Uroflowmetry

Answer 57

measure the rate and degree of bladder emptying

Question 58

Electromyography

Answer 58

measures the strength of pelvic muscle contractions

Question 59

bladder retraining programs

Answer 59

increases the bladders ability to hold urine

Question 60

urinary habit training

Answer 60

helps clients who have limited cognitive ability to establish a predictable pattern on bladder emptying

Question 61

intermittent urinary cauterization

Answer 61

periodic use to empty the bladder, urine output 400ml or less

Question 62

suprapubic catheter

Answer 62

inserted into abdomen above pubic bone and in the bladder