Urinary

Question 1

normal urine production

Answer 1

30mL/hr

Question 2

what foods act as diuretics

Answer 2

caffeine
cucumbers
alcohol

Question 3

meds can make urine what colors

Answer 3

blue
green
orange
black

Question 4

if pt is fluid deficit

Answer 4

give fluids

Question 5

main involuntary muscle

Answer 5

destrusser

Question 6

can we control internal sphincter

Answer 6

no
*neurogenic control

Question 7

decreased fluid intake can lead to

Answer 7

increased sodium

Question 8

urinalysis tests for

Answer 8

glucose
ketones
WBC/RBC
antibiotics
*need 10 mL
*gross, not specific

Question 9

C&S

Answer 9

sterile and specific
*need 3 mL

Question 10

how to measure fluid in post residual void

Answer 10

bladder scanner

Question 11

normal post void residual

Answer 11

> 50 mL

Question 12

urine assessment

Answer 12

color
clarity
odor
volume over 24 hrs
specimens

Question 13

24 hr urine sample

Answer 13

creatinine
clearance
renal function

Question 14

BUN

Answer 14

gross indicator of urine function
*8-23 normal

Question 15

increased BUN in

Answer 15

decreased kidney function
dehydration

Question 16

ileal conduit

Answer 16

ureters into piece of ileum to create stoma

Question 17

ureterostomy

Answer 17

ureters brought to surface, very small stoma

Question 18

neo bladder

Answer 18

remove bladder
small piece of intestine to create internal bowel with ureters attached

Question 19

UTI is the leading cause of

Answer 19

healthcare expenditures in persons of all ages
*#1 nosocomial infection

Question 20

UTI symptoms

Answer 20

dysuria, frequency, foul odor, cloudy
increased temp
increased WBC

Question 21

UTI risks

Answer 21

increased for females
increases with age
increases with indwelling caths
increased with diabetics

Question 22

which meds can cause urinary retention

Answer 22

anticholinergics
tricyclics
CCBs
narcotics
anesthesia

Question 23

where is biofilm harmful

Answer 23

indwelling cath

Question 24

pt needs to void within ____ of foley removal

Answer 24

6 hrs

Question 25

straight cath

Answer 25

intermittent
*put in, drain, pull out

Question 26

indwelling cath

Answer 26

stays inside

Question 27

suprapubic cath

Answer 27

long term

Question 28

position for cath insertion

Answer 28

dorsal recumbent

Question 29

indwelling cath appropriate uses

Answer 29

acute urinary retention
periop
would healing
immobilization
end of life care
large volume infusions of diuretics
surgery

Question 30

indwelling cath alternative

Answer 30

purewick

Question 31

sanitation for cath insertion

Answer 31

sterile or aseptic

Question 32

transient incontinence

Answer 32

sudden
*usually from illness or temporary problem

Question 33

stress incontinence

Answer 33

weak pelvic floor muscles or deficient urethral sphincter
*urine loss during increased intra abdominal pressure

Question 34

urge incontinence

Answer 34

involuntary urine loss that occurs soon after feeling an urgent need to void

Question 35

mixed incontinence

Answer 35

combo of stress and urgency

Question 36

overflow incontinence

Answer 36

chronic retention of urine associated with overdistention and overflow

Question 37

functional incontinence

Answer 37

inability to reach bathroom

Question 38

reflex incontinence

Answer 38

emptying with no signal
*spinal cord injuries

Question 39

how to help with stress and overflow

Answer 39

kegels

Question 40

how to help with urge, functional, and reflex

Answer 40

bladder training