GU and Bladder: 6 Questions

Question 1

What is the position for an External Exam? (Nurse)

Answer 1

Dorsal Recumbent

Question 2

What is the position for the Internal Exam? (Provider)

Answer 2

Lithotomy

Question 3

What device is used for assessing Female Genitalia?

Answer 3

Speculums

Question 4

What is the first part in the Female Genitalia?

Answer 4

Clitoris

Question 5

What is the second hole in the Female Genitalia?

Answer 5

Urethral Orifice / Bladder-Catheter

Question 6

What is the third hole in the Female Genitalia?

Answer 6

Vagina

Question 7

What is the area called between the anus and vagina?

Answer 7

Perineum

Question 8

What is the fourth hole in the Female Genitalia? ?

Answer 8

Anus

Question 9

What positions do men stand in for genitalia assessment?

Answer 9

Standing or Supine

Question 10

What is the hole in the Penis ?

Answer 10

Meatus

Question 11

What do you assess for in a mens anus?

Answer 11

Hemorrhoids

Question 12

What is the order of the urinary tract?

Answer 12

Kidneys
Ureters
Bladder
Urethra

Question 13

Urine is created here as the nephrons filter waste from the blood.

Answer 13

Kidneys

Question 14

Carry urine waste to the bladder.

Answer 14

Ureters

Question 15

Holds the Urine

Answer 15

Bladder

Question 16

Carries urine from the bladder to outer opening.

Answer 16

Urethra

Question 17

Hold long is a mans Urethra?

Answer 17

7-8 inch

Question 18

How long is a woman’s urethra?

Answer 18

1-1.5 inch

Question 19

Who is at risk for more UTI’s?

Answer 19

Women

Question 20

The sudden inability to void when bladder is full?

Answer 20

Acute Urinary Retention

Question 21

Bladder does not empty completely during the void and urine is retained?

Answer 21

Chronic Urinary Retention

Question 22

What do indwelling catheters increase the risk of ?

Answer 22

UTI’s

Question 23

What is effected by Upper UTI?

Answer 23

Kidneys

Question 24

What is effected by Lower UTI?

Answer 24

Bladder and Urethra

Question 25

How do you treat UTI?

Answer 25

Antibiotics

Question 26

What are the symptoms of a UTI?

Answer 26

Dysuria, urgency, frequency, incontinence, suprapubic tenderness, foul smell, and CLOUDY URINE

Question 27

Are UTI more common in older adults?

Answer 27

Yes; increase confusion, fatigue, falls, decrease temp.

Question 28

What is urinary incontinence ?

Answer 28

Involuntary loss of urine

Question 29

Causes from outside urinary tract?

Answer 29

Functional Urinary Incontinence

Question 30

Causes by medical conditions; usually reversible?

Answer 30

Transient Urinary Incontinence

Question 31

Urethra can't stay closed due to increased intra abdominal pressure, weakened urinary sphincter or pelvic floor muscles (leak when laughing or coughing) ?

Answer 31

Stress Urinary Incontinence

Question 32

Strong sense of urgency due to overactive bladder.

Answer 32

Urge Urinary Incontinence

Question 33

Predictable intervals of urine loss when bladder reaches specific volume due to spinal cord damage.

Answer 33

Reflex Urinary Incontinence

Question 34

Patient must catheterize the pouch 4 to 6 times a day (permanent; not reversible)

Answer 34

Continent Urinary Reservoir

Question 35

Had the bladder removal (cystectomy) or for significant bladder dysfunction.

Answer 35

Urinary Diversions

Question 36

During physical assessment of the GU/Bladder, what do assess for Kidneys?

Answer 36

Flank Pain Assess for tenderness

Question 37

During physical assessment of the GU/Bladder, what do assess for Bladder?

Answer 37

Inspect and Palpation Swollen Belly PVR (Post Void Residual Volume) Straight catheter

Question 38

During physical assessment of the GU/Bladder, what do assess for Urethral Meatus?

Answer 38

Inspection Indwelling Catheter

Question 39

During physical assessment of the GU/Bladder, what do assess for Perineal Skin?

Answer 39

Assess skin for damage from moisture, especially urine. Inspect for any erythema, skin erosion, burning, itching.

Question 40

Patient education of the GU/Bladder?

Answer 40

Fluid intake Diet Bladder and Bowel Emptying Hygiene Habits Pelvic Floor Muscle Training Blood Retraining Symptoms of UTI

Question 41

What are the characteristics of Urine?

Answer 41

Color, Clarity, Odor

Question 42

What number is concerning for urine output?

Answer 42

30 mL/Hr

Question 43

What do you assess if a patient has not voided in 3-6 hours and has had fluid intake.

Answer 43

Urinary Retention

Question 44

Pale straw to Amber color of urine?

Answer 44

Normal

Question 45

Dark Amber color of urine ?

Answer 45

Associated with liver damage

Question 46

Hematuria that is Dark Red color of urine?

Answer 46

Bleeding from Kidneys and Ureters.

Question 47

Hematuria that is Bright Red color of urine?

Answer 47

Bleeding from the Bladder or Urethra

Question 48

What clarity should be urine ?

Answer 48

Transparent

Question 49

What could cloudiness urine indicate?

Answer 49

Renal disease, bacteria, or WBC's

Question 50

Blood clots and hematuria is a sign of what?

Answer 50

Catheter Blockage

Question 51

What are the normal labs of WBCs?

Answer 51

2-5/hpf

Question 52

What are the normal labs of RBCs?

Answer 52

4-5/hpf

Question 53

What are the normal labs of pH?

Answer 53

4.5 to 8.0

Question 54

What are the normal labs of specific gravity?

Answer 54

1.005 to 1.030

Question 55

What does higher specific gravity indicate ?

Answer 55

Dehydration, reduced renal blood flow, and increase in ADH secretion.

Question 56

What does lower specific gravity indicate ?

Answer 56

Over hydration, early renal disease, and inadequate ADH secretion.

Question 57

Protein relates to what?

Answer 57

Kidney Function

Question 58

What if bacteria is present ?

Answer 58

Infection or Colonization

Question 59

What is the fourth leading cause of healthcare associated infections?

Answer 59

CAUTI

Question 60

What should a patient do before an Ultrasound of the Renal bladder?

Answer 60

Void

Question 61

One time catheterization for bladder emptying (straight cath).

Answer 61

Intermittent catheter

Question 62

Remains in place for a period of time.

Answer 62

Indwelling catheters

Question 63

How many lumens is a straight catheter?

Answer 63

Single lumen

Question 64

How many lumens is a indwelling catheter?

Answer 64

Double lumen

Question 65

How many lumens is a continuous bladder irrigation?

Answer 65

Triple lumen

Question 66

A curved tip to maneuver past enlarged prostate.

Answer 66

Coude-tip catheter

Question 67

What size is a mens catheter?

Answer 67

10 to 12FR

Question 68

What size is a women's catheter?

Answer 68

12 to 14FR

Question 69

What size is a children's catheter?

Answer 69

8 to 10FR

Question 70

What size is an infants catheter?

Answer 70

5 to 6FR

Question 71

What size is the balloon for an adult?

Answer 71

10mL

Question 72

What size is the balloon for a child?

Answer 72

3mL

Question 73

What size is the balloon for a continuous bladder irrigation ?

Answer 73

30 mL