Urinary Elimination

Question 1

The functional part of the kidney is the

Answer 1

Nephron

Question 2

How many nephrons does each kidney have?

Answer 2

More than 1 million

Question 3

Where is urine stored?

Answer 3

The bladder

Question 4

Where does filtration take place/begin?

Answer 4

The glomerulus

Question 5

Bowman’s Capsule

Answer 5

Surrounds the glomerulus

Question 6

Average amount of urine per void

Answer 6

250-400mL

Question 7

Normal Urine color, clarity, and odor

Answer 7

Light yellow, clear, without sediment, and aromatic

Question 8

Nocturia

Answer 8

Nighttime urination

Question 9

Diuresis

Answer 9

Water excretion

Question 10

Most common microorganism that causes UTI

Answer 10

E. coli

Question 11

Altered Urinary Function: dysuria

Answer 11

Renal patient

Question 12

Altered Urinary Function: polyuria

Answer 12

Brain injury patient

Question 13

Altered Urinary Function: hematuria

Answer 13

UTI patient

Question 14

Assessment: Palpation

Answer 14

Start at the level of the umbilicus and move in a downward direction towards the symphysis pubis to detect bladder distention

Question 15

Noninvasive technology that can estimate the volume of urine in the bladder

Answer 15

Bladder scan (ultrasound)

Question 16

What type of collection do you get if sterile urine is not necessary?

Answer 16

Random urine specimen

Question 17

24-hr specimen needs to be restarted if:

Answer 17

Any of the urine is discarded
It is contaminated with stool
It is contaminated with toilet paper

Question 18

T/F: It is normal to have ketones present in the urine.

Answer 18

False

Question 19

Two most common blood tests to detect kidney disease

Answer 19

BUN and Creatinine

Question 20

Catheterization performed by RN vs patient

Answer 20

RN: procedure is sterile
Patient: procedure is clean

Question 21

Intermittent catheterization

Answer 21

Every 6-8 hrs

Question 22

Altered Urinary Function: nocturia

Answer 22

CHF

Question 23

Prompted Voiding

Answer 23

Involves the use of regular checks (every 2 hrs) to determine whether the or perceives the urge to void

Question 24

Bladder Training

Answer 24

Pts suppress the urge to void before scheduled times.

Question 25

Once foley cath is removed, pt should void when

Answer 25

Within 8hrs

Question 26

Cystitis

Answer 26

UTI in the bladder

Question 27

Urethritis

Answer 27

UTI in the urethra

Question 28

Pyelonephritis

Answer 28

UTI of the ureters, renal pelvis, or renal parenchyma

Question 29

Urosepsis

Answer 29

Infection spreads to systemic circulation Common in older adults as the bladder wall thins

Question 30

CAUTI

Answer 30

Catheter acquired UTI