exam 2 Flashcards Preview

fundamentals > exam 2 > Flashcards

Flashcards in exam 2 Deck (106)
Loading flashcards...
1

You need an intact _______ system and functioning organs in order to void

neurological

2

Spinal Cord Injury above the level of the_____ region can result in loss of voluntary control of urination

sacral

3

Avg. Volume per voiding:

200-500mL

4

Normal urine Output per 24 Hours:

1200 mL-1500 mL

5

: begins after discarding first specimen and ends with a final voiding at the end of the time period

Timed Urine Specimen

6

What are the 7 factors that influence urinary elimination?

-Developmental Factors
-Disease Conditions
- Muscle Tone
-Psychosocial Factors
- Fluid Balance
-Surgical and Diagnostic Procedures
-Medications

7

What information can you get from a urine analysis (U/A)?

5 things

-PH
-Protein
-Glucose
-Ketones
-Specific gravity

8

normal pH for urine

4.6-8.0

9

Specific gravity for urine

(1.0053-1.030),

10

Urine is collected after voiding is initiated (midstream) and before voiding is completed

Midstream urine specimen

11

This is required for tests of renal function and urine composition.

24-Hour Urine Specimen

12

The entire volume of urine from a 24-hour period is collected.

If urine is accidentally discarded or contaminated or the patient is incontinent, restart the time period.

24-Hour Urine Specimen

13

Inability to empty the bladder

Retention of urine in the bladder; condition frequently caused by a temporary loss of muscle function.

urinary retention

14

Involuntary loss of urine

Urinary incontinence

15

Surgical diversion of the drainage of urine such as a ureterostomy.

urinary diversion

16

Can be caused by obstruction of the urinary tract or by nerve problems

Urinary Retention

17

inability to void or voiding frequently in small amounts often with sense of incomplete emptying,

bladder distention & tenderness, pain

Urinary Retention

18

Urinary Retention Interventions: treat the problem, may need to ________ the client

catheterize

19

Affects 50% of men over age 60 and 90% of men over age 70

Common signs and symptoms: voiding in small amounts, frequency, urgency, hesitancy, weak stream

Benign Prostatic Hypertrophy(BPH

20

They are the most common health-care associated infection in the United States

Urinary Tract Infections(UTIs)

21

infection where Common signs and symptoms:
Urgency
Burning on urination
Fever
Chills
WBC’s in the urine sample

Urinary Tract Infections(UTIs)

22

Adequate fluid intake per day

(2000-2500mL)

23

6 ways to prevent UTI

Adequate fluid intake
Frequent voiding upon urge
Promote Complete Emptying-Double voiding
Proper perineal care-
Avoid using feminine hygiene products
Acidify the urine

24

Sometimes the first sign of a bladder infection or UTI in the elderly is_____________

confusion

25

involuntary loss of urine associated with effort or exertion on sneezing or coughing

Stress Incontinence

26

Involuntary passage of urine often associated with strong sense of urgency related to an overactive bladder caused by neurological problems, bladder inflammation, or bladder outlet obstruction

Urge Incontinence

27

Involuntary loss of urine occurring at somewhat predictable intervals when patient reaches specific bladder volume related to spinal cord damage between C1 to S2

Reflex Incontinence

28

Loss of continence because of causes outside the urinary tract. Usually related to functional deficits such as altered mobility and manual dexterity, cognitive impairment, poor motivation, or environmental barriers

Functional Incontinence

29

Incontinence caused by medical conditions that in many cases are treatable and reversible

Transient Incontinence

30

this is the remedy for what type of Incontinence

pelvic muscle exercises

Stress Incontinence