Genitourinary

Question 1

1. Can be inflamed or infected

Answer 1

flank pain in kidneys

Question 2

bladder sits

Answer 2

low,

if high–distended/full with urine

Question 3

palpating bladder

Answer 3

should be smooth, rounded

Question 4

i. An accumulation of urine due to the inability of the bladder to empty

Answer 4

urinary retention

Question 5

i. Involuntary leakage of urine

Answer 5

c. Urinary incontinence

Question 6

i. Decreased urine output (dehydration, obstruction, etc)

Answer 6

a. Oliguria

Question 7

i. More urine

Answer 7

b. Polyuria

Question 8

i. Burning or pain with urination

Answer 8

c. Dysuria

Question 9

i. Awaken at night to void

Answer 9

nocturne

Question 10

blood in urine

Answer 10

hematuria

Question 11

frequency

Answer 11

more than 8x a day-considered high

Question 12

measuring output

Answer 12

i. Voiding patient
ii. Graduated cylinder
iii. Patient with indwelling catheter (Foley)

Question 13

Intake

Answer 13

i. Average daily intake
ii. Physician’s order
iii. Nursing judgment
1. Your judgement too if you think they should be put on I & Os
iv. IVs, tubes (feeding)

Question 14

Urine output can be done

Answer 14

hourly, daily (every shift 8hours)

Question 15

Concerning findings for urine output

Answer 15

polyuria-high amount

oliguria-small amount

Question 16

Normal urine output for adult

Answer 16

30 mL/hour

Question 17

Initial stream flushes out microorganisms that accumulate at urethral meatus and prevents transfer into specimen

Answer 17

Midstream clean voided urine specimen

Question 18

Normal urinalysis
pH
Proteins
glucose
Ketones
Specific gravity

Answer 18

4.6-8.0
none or up to 8mg/100mL
none
none
1.0053-1.030

Question 19

Microscopic examination
RBC
WBC
Bacteria
Casts
Crystals

Answer 19

up to 2
0-4 per low power filed
none
none
none

Question 20

lab evaluates urine

Answer 20

asap within 2 hours

Question 21

what void ensures uniform concentration?

Answer 21

first void specimen in morning

Question 22

Routine UA

Answer 22

i. Clean-catch or midstream specimen
ii. From port on indwelling catheter
iii. 24 hr urine collection

Question 23

Info to report about urine (7 things)

Answer 23

a. Cloudy
b. Pinkish or reddish tint
c. Complaints of burning on urination
d. Difficulty in urination
e. Feeling of pressure
f. Frequency
g. Strong odor

Question 24

Caring to pt with indwelling foley catheter

Answer 24

perineal washing-daily & after bowel movements
Fluid
Bag below level of bladder,
attach to frame of bed
closed system
assess urine

Question 25

dark amber urine

Answer 25

high levels of billirubin (urobilinogen) liver disease

Question 26

Bladder scans check for

Answer 26

residual urine

Question 27

Normal clarity

Answer 27

transparent at time of voiding

Question 28

urine that stands for several minutes-

Answer 28

becomes cloudy

Question 29

when bacteria & WBC are in urine

Answer 29

thick & cloudy

Question 30

renal disease-urine looks like

Answer 30

cloudy bc of protein concentration

Question 31

urine odor

Answer 31

ammonia

Question 32

more concentrated the urine-

Answer 32

stronger the odor

Question 33

acid-base balance

Answer 33

pH levels

Question 34

what is not normally present in urine?

Answer 34

Protein-if so, sensitive indicator of kidney function

Question 35

poorly controlled diabetes would have

Answer 35

glucose &ketones in urine

Question 36

What is not normally present in urine sample?

Answer 36

``` Glucose ketones proteins bacteria casts crystals ```

Question 37

Measures concentration of particles in urine

Answer 37

specific gravity