Chpt 24: Urinary Elimination

Question 1

over-active bladder

Answer 1

aka incontinence

Question 2

mixed incontinence

Answer 2

combination of stress incontinence and urge incontinence

Question 3

over-flow incontinence

Answer 3

loss of small amounts of urine that leak from a bladder that is always full

Question 4

functional incontinence

Answer 4

occurs when the person has bladder control but can’t use the toilet in time

Question 5

urinary frequency

Answer 5

voiding at frequent intervals

Question 6

stress incontinence

Answer 6

when urine leaks during exercise and certain movements that cause pressure on the bladder

Question 7

uriniary urgerncy

Answer 7

need to void at once

Question 8

urge incontinence

Answer 8

loss of urine in response to a sudden urgent need to void

Question 9

reflex incontinence

Answer 9

loss of urine at predictable intervals when the bladder is full

Question 10

oliguria

Answer 10

scant amount of urine, usually less than 500mL in 24hrs

Question 11

transcient incontinence

Answer 11

temp. occasional incontinence thats reversed when the cause is treated

Question 12

urinary retention

Answer 12

inability to void

Question 13

what system removes solid wastes from the body

Answer 13

digestive system

Question 14

what a health amount of urine

Answer 14

1500mL

Question 15

what can you do if the person has difficulty starting the urine stream

Answer 15

run water

Question 16

what food can make your pee bright yellow

Answer 16

carrots or sweet potatoes

Question 17

what should be reported or recorded at once when caring for infant (reguarding the urinary system)

Answer 17

if the infant hasn’t had a wet diaper in several hours

Question 18

when youre getting ready to give a person the bedpan, what should you do to the bed

Answer 18

raise the head of the bed slightly for the person’s comfort

Question 19

where are urinals typically placed

Answer 19

bed rails

Question 20

how do you help a man who’s unable to stand when he needs to use a urinal

Answer 20

place and hold the urinal for him

Question 21

when is a commode used

Answer 21

when the person needs to be in the normal position for elimination

Question 22

when you place a commode over the toilet what should you always do

Answer 22

lock the wheels

Question 23

when caring for an incontinent person who often wets right after you’ve changed them

Answer 23

talk to the nurse if youre becoming impatient

Question 24

when a person with dementia what measures may help keep the person clean and dry?

Answer 24

observe for signs that the person may need to void, such as pulling at the clothing

Question 25

what should you doc. when applying an incontinence product

Answer 25

date, time, and your initials on the new product

Question 26

whats to goal of bladder training

Answer 26

control of urination

Question 27

when you're assisting the person with habit training to have normal elimination, when is voiding scheduled?

Answer 27

voiding is scheduled at regular times to match person's voiding habits

Question 28

where you assist with bladder training for a person with an indwelling catheter what do you do

Answer 28

at first, clamp the catheter for 1 hour

Question 29

BM

Answer 29

bowel movement

Question 30

what substances increase urine production

Answer 30

cofee tea alcohol some drugs

Question 31

fracture pans are used for....

Answer 31

``` w/ casts in traction limited back motion after spinal cord injury hip fracture hip replacement/ surg. osteoporosis/arhtritis ```

Question 32

a bariatric bedpan place with what end under the butt?

Answer 32

Small end

Question 33

what overservations are important when a person vids in a bedpan or urinal

Answer 33

``` wine color, clarity, color amount prescence of particle hematuria complaints ```

Question 34

what 3 complaints should you report

Answer 34

urgerncy, burning, dysuria

Question 35

when youre handling bedpans urinals and commodes and their contents you should follow

Answer 35

standard precautions | bloodborne pathogen standard

Question 36

when delegated to provide a urinal what guidelines should you follow

Answer 36

``` how its used sitting, standing eyc help needed if man needs support to stand leave room/ stay with person nurse needs to observe urine before disposal observations 2 report and record when 2 report observations what patient/res. concerns to report @ once ```

Question 37

when you transfer a person to commode from bed, you must practice safe transfer procedures and use a ______ and ____ the wheels

Answer 37

transfer belt | lock the wheels

Question 38

whats the risk factors and causes of incontinence related to women,men,age,weight,smoking,diabetes

Answer 38

women pregnancy child birth, menopause men-prostate probs -age-bladder muscles lose strength, holds less urine smoking- cough increases pressure on bladder, overactive diabetes- nerve amage

Question 39

who are alcohol, bladder irritation, caffeine, constipation, increased fluid intake, urinary tract infection related to transcient incontinence

Answer 39

alcohol: stim. bladder, urge incontinence, increase urine production bladder irritation cause by: some drinks/food caffeine: increase urine production constipation or fecal impaction: irritates nerves urinary tract infection: irritates bladder, urge needed to void

Question 40

when you're delegated to apply incontinence products you need this info from the nurse and care plan:

Answer 40

``` size product barrier cream needed? What cream observe to report when 2 report observations res. concerns to report ```

Question 41

what observations should you report and record when you are delegated to aply incontincence products

Answer 41

urine color leakage hematuria pain, itching, burning, irritation, need to void amnt of urine a poor product fit s/s of skin breakdown redness, irritation, etc.

Question 42

when you provide pernial care after a person is incontinent remember to...

Answer 42

folow standard precautions & Blood Born pathogen standard follow care plan, use soap's words expose only pernial area dry the pernial area and butt protect person and dry garments and linens remove wet; incontinence products

Question 43

the catheter is clamped for 1 hour at first and over time, 3-4 hours when what is done

Answer 43

bladder training is being done